Uterine Rupture by Intended Mode of Delivery in the UK: A National Case-Control Study
Publication Date
March 13, 2012
Journal
PLOS Medicine
Authors
Kathryn E. Fitzpatrick, Jennifer J. Kurinczuk, Zarko Alfirevic, Patsy Spark, et al
Volume
9
Issue
3
Pages
e1001184
DOI
https://dx.plos.org/10.1371/journal.pmed.1001184
Publisher URL
http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.1001184
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/22427745
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3302846
Europe PMC
http://europepmc.org/abstract/MED/22427745
Web of Science
000302132500004
Scopus
84858974165
Mendeley
http://www.mendeley.com/research/uterine-rupture-intended-mode-delivery-uk-national-casecontrol-study
Events
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Mendeley | Further Information

{"title"=>"Uterine rupture by intended mode of delivery in the uk: A national case-control study", "type"=>"journal", "authors"=>[{"first_name"=>"Kathryn E.", "last_name"=>"Fitzpatrick", "scopus_author_id"=>"35603296400"}, {"first_name"=>"Jennifer J.", "last_name"=>"Kurinczuk", "scopus_author_id"=>"7004033234"}, {"first_name"=>"Zarko", "last_name"=>"Alfirevic", "scopus_author_id"=>"26643018800"}, {"first_name"=>"Patsy", "last_name"=>"Spark", "scopus_author_id"=>"23006497400"}, {"first_name"=>"Peter", "last_name"=>"Brocklehurst", "scopus_author_id"=>"56745864600"}, {"first_name"=>"Marian", "last_name"=>"Knight", "scopus_author_id"=>"16301628100"}], "year"=>2012, "source"=>"PLoS Medicine", "identifiers"=>{"sgr"=>"84858974165", "doi"=>"10.1371/journal.pmed.1001184", "pui"=>"364514772", "issn"=>"15491277", "pmid"=>"22427745", "isbn"=>"1549-1277", "scopus"=>"2-s2.0-84858974165"}, "id"=>"e4664206-9c2e-312b-8607-5f43c2901611", "abstract"=>"BACKGROUND: Recent reports of the risk of morbidity due to uterine rupture are thought to have contributed in some countries to a decrease in the number of women attempting a vaginal birth after caesarean section. The aims of this study were to estimate the incidence of true uterine rupture in the UK and to investigate and quantify the associated risk factors and outcomes, on the basis of intended mode of delivery.\\n\\nMETHODS AND FINDINGS: A UK national case-control study was undertaken between April 2009 and April 2010. The participants comprised 159 women with uterine rupture and 448 control women with a previous caesarean delivery. The estimated incidence of uterine rupture was 0.2 per 1,000 maternities overall; 2.1 and 0.3 per 1,000 maternities in women with a previous caesarean delivery planning vaginal or elective caesarean delivery, respectively. Amongst women with a previous caesarean delivery, odds of rupture were also increased in women who had ≥ two previous caesarean deliveries (adjusted odds ratio [aOR] 3.02, 95% CI 1.16-7.85) and <12 months since their last caesarean delivery (aOR 3.12, 95% CI 1.62-6.02). A higher risk of rupture with labour induction and oxytocin use was apparent (aOR 3.92, 95% CI 1.00-15.33). Two women with uterine rupture died (case fatality 1.3%, 95% CI 0.2-4.5%). There were 18 perinatal deaths associated with uterine rupture among 145 infants (perinatal mortality 124 per 1,000 total births, 95% CI 75-189).\\n\\nCONCLUSIONS: Although uterine rupture is associated with significant mortality and morbidity, even amongst women with a previous caesarean section planning a vaginal delivery, it is a rare occurrence. For women with a previous caesarean section, risk of uterine rupture increases with number of previous caesarean deliveries, a short interval since the last caesarean section, and labour induction and/or augmentation. These factors should be considered when counselling and managing the labour of women with a previous caesarean section.", "link"=>"http://www.mendeley.com/research/uterine-rupture-intended-mode-delivery-uk-national-casecontrol-study", "reader_count"=>101, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>4, "Librarian"=>4, "Student > Doctoral Student"=>6, "Researcher"=>15, "Student > Ph. D. Student"=>12, "Student > Postgraduate"=>9, "Other"=>8, "Student > Master"=>16, "Student > Bachelor"=>17, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>4, "Librarian"=>4, "Student > Doctoral Student"=>6, "Researcher"=>15, "Student > Ph. D. Student"=>12, "Student > Postgraduate"=>9, "Other"=>8, "Student > Master"=>16, "Student > Bachelor"=>17, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>9, "Environmental Science"=>1, "Nursing and Health Professions"=>4, "Biochemistry, Genetics and Molecular Biology"=>1, "Mathematics"=>1, "Medicine and Dentistry"=>76, "Agricultural and Biological Sciences"=>4, "Psychology"=>1, "Social Sciences"=>2, "Computer Science"=>1, "Earth and Planetary Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>76}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>1}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>9}, "Environmental Science"=>{"Environmental Science"=>1}}, "reader_count_by_country"=>{"Canada"=>1, "United States"=>1, "Brazil"=>1, "United Kingdom"=>1, "France"=>1}, "group_count"=>10}

CrossRef

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/668973"], "description"=>"<p>Uterine rupture cases by gestational age at rupture, labour, and previous caesarean section status.</p>", "links"=>[], "tags"=>["rupture", "cases", "gestational", "caesarean"], "article_id"=>339456, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.g002", "stats"=>{"downloads"=>0, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Uterine_rupture_cases_by_gestational_age_at_rupture_labour_and_previous_caesarean_section_status_/339456", "title"=>"Uterine rupture cases by gestational age at rupture, labour, and previous caesarean section status.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 07:51:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/669105"], "description"=>"a<p>Percentage of individuals with complete data.</p>b<p>Adjusted for all factors in the table apart from socio-economic group, previous uterine incision type(s), previous caesarean uterine closure type(s), previous uterine perforation, and twin pregnancy. When adjusting for age, body mass index, parity, and number of previous caesarean deliveries, these variables have been treated as a continuous linear term in the analysis.</p>", "links"=>[], "tags"=>["factors", "uterine", "rupture", "women", "caesarean"], "article_id"=>339587, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.t003", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_factors_for_uterine_rupture_in_women_with_prior_delivery_by_caesarean_section_/339587", "title"=>"Risk factors for uterine rupture in women with prior delivery by caesarean section.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 07:51:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/668914"], "description"=>"<p>Case reporting and completeness of data collection.</p>", "links"=>[], "tags"=>["completeness"], "article_id"=>339400, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.g001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Case_reporting_and_completeness_of_data_collection_/339400", "title"=>"Case reporting and completeness of data collection.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 07:50:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/669143"], "description"=>"a<p>Percentage of individuals with complete data.</p>b<p>Includes shoulder tip pain, scar tenderness, maternal tachycardia, and blood in abdomen.</p>", "links"=>[], "tags"=>["signs", "noted", "uterine"], "article_id"=>339629, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.t002", "stats"=>{"downloads"=>2, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Symptoms_and_signs_noted_prior_to_diagnosis_of_uterine_rupture_/339629", "title"=>"Symptoms and signs noted prior to diagnosis of uterine rupture.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 07:51:54"}
  • {"files"=>["https://ndownloader.figshare.com/files/669045"], "description"=>"<p>Adjusted for woman's age as a continuous linear term, ethnicity, body mass index as a continuous linear term, parity as a continuous linear term, number of previous caesarean deliveries as a continuous linear term, previous uterine surgery, placenta praevia, macrosomia, and planned mode of delivery.</p>", "links"=>[], "tags"=>["uterine", "rupture", "caesarean"], "article_id"=>339534, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.g003", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_of_uterine_rupture_according_to_the_interval_between_the_last_caesarean_section_and_start_of_current_pregnancy_/339534", "title"=>"Risk of uterine rupture according to the interval between the last caesarean section and start of current pregnancy.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 07:51:22"}
  • {"files"=>["https://ndownloader.figshare.com/files/669179"], "description"=>"a<p>Labour either not induced or induced without prostaglandin.</p>", "links"=>[], "tags"=>["incidence", "uterine", "rupture", "categories"], "article_id"=>339663, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.t001", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimated_incidence_of_uterine_rupture_in_different_categories_of_women_/339663", "title"=>"Estimated incidence of uterine rupture in different categories of women.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 07:52:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/669215"], "description"=>"a<p>Individuals with complete data.</p>b<p>Labour either not induced or induced without prostaglandin.</p>", "links"=>[], "tags"=>["women", "had", "uterine", "rupture", "caesarean"], "article_id"=>339706, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.t006", "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_women_who_had_a_uterine_rupture_in_the_absence_of_a_prior_delivery_by_caesarean_section_/339706", "title"=>"Characteristics of women who had a uterine rupture in the absence of a prior delivery by caesarean section.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 07:52:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/669259"], "description"=>"a<p>Percentage of individuals with complete data.</p>b<p>Adjusted for woman's age as a continuous linear term, ethnicity, body mass index as a continuous linear term, parity as a continuous linear term, number of previous caesarean deliveries as a continuous linear term, previous uterine surgery, interval between last caesarean section and last menstrual period as a categorical term, and macrosomia.</p>c<p>Labour either not induced or induced without prostaglandin.</p>", "links"=>[], "tags"=>["factors", "uterine", "rupture", "women", "caesarean", "planned", "vaginal"], "article_id"=>339741, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.t005", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_factors_for_uterine_rupture_in_women_with_prior_delivery_by_caesarean_section_who_planned_to_have_a_vaginal_delivery_in_current_pregnancy_/339741", "title"=>"Risk factors for uterine rupture in women with prior delivery by caesarean section who planned to have a vaginal delivery in current pregnancy.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 07:52:27"}
  • {"files"=>["https://ndownloader.figshare.com/files/669292"], "description"=>"a<p>Percentage of individuals with complete data.</p>b<p>Adjusted for woman's age as a continuous linear term, ethnicity, body mass index as a continuous linear term, parity as a continuous linear term, number of previous caesarean deliveries as a continuous linear term, previous uterine surgery, interval between last caesarean section and last menstrual period as a categorical term, placenta praevia, and macrosomia.</p>c<p>Labour either not induced or induced without prostaglandin.</p>", "links"=>[], "tags"=>["factors", "uterine", "rupture", "women", "caesarean"], "article_id"=>339775, "categories"=>["Cell Biology", "Biotechnology"], "users"=>["Kathryn E. Fitzpatrick", "Jennifer J. Kurinczuk", "Zarko Alfirevic", "Patsy Spark", "Peter Brocklehurst", "Marian Knight"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001184.t004", "stats"=>{"downloads"=>7, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_factors_for_uterine_rupture_in_women_with_prior_delivery_by_caesarean_section_/339775", "title"=>"Risk factors for uterine rupture in women with prior delivery by caesarean section.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 07:52:39"}

PMC Usage Stats | Further Information

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Relative Metric

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