title: Pregnancy outcome in patients with previous uterine rupture.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon.
authors.forename: Ihab M
authors.initials: IM
authors.lastname: Usta
authors.forename: Mohamad A
authors.initials: MA
authors.lastname: Hamdi
authors.forename: Antoine A Abu
authors.initials: AA
authors.lastname: Musa
authors.forename: Anwar H
authors.initials: AH
authors.lastname: Nassar
mesh_terms: 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*