title: [Obstetrical outcome and risk of uterine rupture following a caesarean section before 32 weeks].
abstract: OBJECTIVE
  Our aim was to evaluate the subsequent obstetrical outcome and rate of uterine rupture following a caesarean section before 32 weeks of gestation.
  
  
  METHODS
  A retrospective cohort study of 200 consecutive women with a prior caesarean section performed between 25 and 32 weeks were contacted by questionnaire or followed through medical charts to determine the subsequent mode of delivery.
  
  
  RESULTS
  Two hundred caesarean section were performed between 25 and 32 weeks from January 1997 to March 2000. Thirty-nine patients (19.2%) were lost to follow-up. Seventy-one patients had a subsequent delivery. Thirty-two attempted vaginal birth and the success rate was 87.5%. Thirty-nine patients had a subsequent caesarean. One case of uterine rupture occurred before labour at 31 weeks (1.4%, % IC 95% [0.25; 7.56]).
  
  
  CONCLUSIONS
  After a previous caesarean delivery before 32 weeks, a trial of labour may be proposed when obstetrical conditions are optimal. However, uterine rupture may occur prior to labor.
authors.affiliation: Service de gynécologie obstétrique, CHU Nord, Assistance publique-Hôpitaux de Marseille, université de la Méditerranée, chemin des Bourrely, 13195 Marseille cedex 20, France.
authors.forename: A-S
authors.initials: AS
authors.lastname: Maisonneuve
authors.forename: J-B
authors.initials: JB
authors.lastname: Haumonte
authors.forename: X
authors.initials: X
authors.lastname: Carcopino
authors.forename: R
authors.initials: R
authors.lastname: Shojai
authors.forename: F
authors.initials: F
authors.lastname: Bretelle
authors.forename: C
authors.initials: C
authors.lastname: Chau
authors.forename: L
authors.initials: L
authors.lastname: Boubli
authors.forename: C
authors.initials: C
authors.lastname: d'Ercole
mesh_terms: D000328:Adult; D002585:Cesarean Section; D015331:Cohort Studies; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D012189:Retrospective Studies; D012307:Risk Factors; D014597:Uterine Rupture / Q000453:epidemiology*; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects*