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Uterine rupture, endometritis: prospective study gauges attempted VBAC risks.(Obstetrics)
NEW ORLEANS -- The risks associated with attempting a vaginal birth after a prior cesarean delivery are important, but they are small and don't necessarily preclude an attempted VBAC, findings from a large prospective study suggest.
"While the magnitude of increased maternal and perinatal risks remains small, this information should be considered when counseling women about their choices for delivery following previous cesarean child birth," Dr. Mark B. Landon said at the annual meeting of the Society for Maternal-Fetal Medicine.
The findings of this large multicenter study provide important clarifications for women considering VBAC, he said, noting that the fears about the risks associated with attempted VBAC--which drove the VBAC rate down from its peak of 31% in 1996 to less than 13% in 2002--were based largely on anecdotal reports and "methodologically deficient" retrospective studies.
Of 45,988 women with a prior cesarean delivery who were enrolled in the 4-year observational study, 15,801 underwent an elective repeat cesarean delivery, 17,902 attempted VBAC, and the remaining women either underwent cesarean delivery for maternal or fetal indications or presented in early ...
- Informed consent for attempted VBAC.(GUEST EDITORIAL)
- Magazine article from: OB GYN News Sinclitico, Dennis J. April 1, 2005 700+ words
...about the risk for uterine rupture. Some physicians prefer...17,898 women who attempted VBAC for a term singleton developed uterine rupture. Only 12 term infants...7 of them in the uterine-rupture subgroup. The absolute...
- Scientists at Washington University, Medical Department publish research in...
- Magazine article from: Women's Health Weekly May 7, 2009 700+ words
...morbidity, including uterine rupture. Univariable, stratified...cesarean, 12,535 attempted VBAC and 508 of those...similar risks of uterine rupture (adjusted OR [AOR...Department (see also Uterine Rupture). The researchers...
- Counsel Patients on Risk of Uterine Rupture.
- Magazine article from: OB GYN News DONOHUE, MAUREEN September 1, 2000 700+ words
...management in a hospital setting where a uterine rupture can be recognized and managed expediently...risk factors increase the chances of uterine rupture. Dr. Caughey of the department of...hysterotomy carries about a 12% rate of uterine rupture in subsequent pregnancies. However...
- High uterine rupture risk with high maximum oxytocin dose
- Magazine article from: Inpharma Weekly Anonymous August 23, 2008 700+ words
...appears to be a 'unacceptable' risk of uterine rupture associated with higher maximum oxytocin...effect of maximum oxytocin dose on uterine rupture in such patients, researchers analysed...oxytocin were assessed; 62 patients with uterine rupture were compared to 210 patients ...
- Uterine rupture and dehiscence: Ten-year review and case-control study.
- Magazine article from: Southern Medical Journal Diaz, Sumac D. Jones, Jacob E. Seryakov, Michael Mann, William J. April 1, 2002 700+ words
...fetal macrosomia increase the risk of uterine rupture or dehiscence (URD). Methods...and endometritis (10%). Uterine rupture/dehiscence was independently associated...fetal status. ********** UTERINE RUPTURE is an uncommon obstetric complication...
- Study data from Laval University update understanding of uterine rupture.
- Magazine article from: Women's Health Weekly March 19, 2009 700+ words
...of thinning and, thus, to predict uterine rupture. However, the best measuring technique...scientists in Canada report (see also Uterine Rupture). "Sonographic evaluation of the...the patient experienced a large uterine rupture during a trial of labor at term...
- Researchers from Ohio State University report on findings in uterine rupture.
- Magazine article from: Women's Health Weekly November 20, 2008 700+ words
...cesarean delivery' new findings in uterine rupture. "By 2004, only 9.2% of women...cesarean delivery (VBAC)-TOL is uterine rupture, which can lead to perinatal death...the United States report (see also Uterine Rupture). "Risk factors for uterine rupture...
- Recent findings from Laval University, Medical Department highlight research in...
- Newspaper article from: Clinical Trials Week November 16, 2009 700+ words
...segment (LUS) thickness for complete uterine rupture DESIGN: A prospective cohort study...University, Medical Department (see also Uterine Rupture). The researchers concluded...optimal cutoff for the prediction of uterine rupture (3/33 vs 0/92, P=.02) Full...
