| 20040414-39 Uterine
rupture associated with misoprostol labor induction in women
with previous cesarean delivery - European
Journal of Obstetrics and Gynecology and Reproductive
Biology , vol 113, no 1, March 2004, pp 45-48 Aslan H; Unlu
E; Agar M; et al - (2004) |
| |
OBJECTIVE: To review our experience with uterine
rupture in patients undergoing a trial of labor with a history of previous
cesarean delivery in which labor was induced with misoprostol. STUDY
DESIGN: A retrospective chart review was used to select patients who
underwent induction of labor with misoprostol during the period from
February 1999 to June 2002. Women with a history of cesarean delivery were
retrospectively compared with those without uterine scarring. RESULTS:
Uterine rupture occurred in 4 of 41 patients with previous cesarean
delivery who had labor induced with misoprostol. The rate of uterine
rupture (9.7%) was significantly higher in patients with a previous
cesarean delivery (P<0.001). No uterine rupture occurred in 50 patients
without uterine scarring. Women with a history of cesarean delivery were
more likely to have oxytocin augmentation than those without uterine
scarring (41% versus 20%; P=0.037). CONCLUSION: Misoprostol induction of
labor increases the risk of uterine rupture in women with a history of
cesarean delivery. (16 references) (Author)
| Article Type: |
Original research |
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Yet VBAC women are still being induced this way. 4
out of 41 is pretty definite. M
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