Pregnancy outcome in patients with previous uterine rupture.
BACKGROUND
To review the outcome of subsequent pregnancies in conservatively managed cases of uterine rupture.


METHODS
Charts of patients with full thickness uterine rupture in the past 25 years were reviewed and information on subsequent pregnancies was extracted from maternal and neonatal charts.


RESULTS
Thirty-seven patients with uterine rupture were identified; the uterus was scarred in 62.2%. Ruptures were repaired in 26 (70.3%). Twelve patients subsequently conceived (24 pregnancies), with recurrence in 8/24 (33.3%) pregnancies or 5/12 (41.7%) patients. Patients with recurrence had a shorter median interval from previous rupture (2 versus 5 years), a higher incidence of previous longitudinal ruptures (60.0% versus 0.0%), and the median gestational age at the preceding rupture was lower without reaching statistical significance (34 versus 38 weeks; p = 0.209).


CONCLUSIONS
Longitudinal ruptures and short intervals between rupture and subsequent pregnancy predispose to recurrence of uterine rupture.
Usta
Ihab M
IM
Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon.
Hamdi
Mohamad A
MA
Musa
Antoine A Abu
AA
Nassar
Anwar H
AH
D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014597:Uterine Rupture / Q000453:epidemiology*