title: Uterine rupture during a trial of labor after previous cesarean delivery.
abstract: Uterine rupture, which involves complete separation of the uterine wall, occurs in about 1% of those attempting vaginal birth after cesarean. Because uterine rupture is one of the most significant complications of a trial of labor (TOL) after previous cesarean, identifying those at increased risk of uterine rupture is paramount to the safety of a TOL after previous cesarean birth. It seems that both antepartum demographic characteristics and intrapartum factors modify the risk of uterine rupture. The ability to reliably predict an individual's a priori risk for intrapartum uterine rupture remains a major area of investigation.
authors.affiliation: Beth Israel Deaconess Medical Center, Division of Maternal Fetal Medicine, Harvard University School of Medicine, Boston, MA 02215, USA. cmzelop@comcast.net
authors.forename: Carolyn M
authors.initials: CM
authors.lastname: Zelop
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011237:Predictive Value of Tests; D011247:Pregnancy; D012307:Risk Factors; D014219:Trial of Labor; D014597:Uterine Rupture / Q000209:etiology*; D016064:Vaginal Birth after Cesarean / Q000009:adverse effects*