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Bibliographical entry (without author) : | Uterine rupture and dehiscence: ten-year review and case-control study.. Southern Medical J, 95, p.431 |
Author(s) : | Diaz |
Year of publication : | 2002 |
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Abstract (English) : | Retro., 25,718 deliveries at Riverside Regional Medical Center from 1990 to 2000 were reviewed. RESULTS: Eleven uterine ruptures and 10 dehiscences occurred during this period (0.08%). In this group of rupture/dehiscence there was one maternal death (5%) and three neonatal deaths (14%). Other complications included intrapartum non reassuring fetal status (67%), 5-minute Apgar score < 7 (52%), maternal blood transfusion (24%), neonatal hypoxic injury (14%), hysterectomy (14%), and endometritis (10%). Uterine rupture/dehiscence was independently associated with fetal weight > or = 4,000 g, non reassuring fetal status, use of oxytocin, and previous cesarean delivery; internal fetal monitoring reduced the risk of uterine rupture/dehiscence. CONCLUSIONS: To reduce the risk of uterine rupture/dehiscence, a delivery plan should include assessment of cesarean history and fetal macrosomia, judicious use of oxytocin, and intrapartum monitoring for non reassuring fetal pattern. |
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Comments : | Fiche importée de http://www.worldserver.com/turk/birthing/rrvbac2000-4.html avec l’aide de Ken Turkowski, septembre 2005 |
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Author of this record : | Ken Turkowski — 01 Feb 2006 |
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