A secondary analysis of 11,778 women from this study with one prior low - transverse cesarean delivery showed an increase in
uterine rupture only in women undergoing induction who had no prior vaginal delivery (1.5 % versus 0.8 %, P =.02).
While this may lead some people to believe
uterine rupture only happens in women who have had C - sections, this isn't actually the case.
Not exact matches
It is given
only in hospitals with good fetal monitoring because of increased risks to you and your baby, such as fetal distress, too strong or long contractions, and
uterine rupture.
Fortunately it's extremely rare:
only one in 100 women who attempts a VBAC experiences
uterine rupture.
The
only safe way to manage the risk of
uterine rupture during a VBAC is to be in the hospital, with anesthesiologists and OBs able to perform a c - section within minutes.
Interesting
only 2 of the studies in the review looked a
uterine rupture — a greater risk for women who have previously laboured.
Studies addressing the risks and benefits of TOLAC in women with more than one cesarean delivery have reported a risk of
uterine rupture between 0.9 % and 3.7 %, but have not reached consistent conclusions regarding how this risk compares with women with
only one prior
uterine incision (6, 70 — 73).
Few studies regarding twins have been completed, but in two small studies with
only 45 women, the rates of successful VBAC and
uterine rupture did not differ significantly between study subjects and women with singleton gestations also attempting VBAC (ACOG, 2004).
It's difficult for doctors to diagnose
uterine rupture until it actually happens, Unfortunately, if the uterus manages to tear during delivery, not
only will baby have a difficult time being born, but both mom and baby get placed in a life - threatening situation that needs to be remedied immediately.
Apart from surgery, an alternative treatment (which
only works with open pyometra, with closed pyometra
uterine rupture is likely) is to treat with prostaglandins (as well as antibiotics) which may cause an improvement within 48 hours; treatment with prostaglandins can cause symptoms to worsen after administration but will generally cause improvement afterwards.