title: Uterine rupture and risk factors for caesarean delivery following induced labour in women with one previous lower segment caesarean section.
abstract: OBJECTIVE
  To determine the outcome of induction of labor, specifically incidence of uterine rupture and reliable predictors of repeat caesarean delivery, in women undergoing induction of labor after previous caesarean section.
  
  
  METHODS
  A review of obstetric and perinatal records of 167 women who had their labor induced after one transverse lower uterine incision performed at previous caesarean delivery in a referral tertiary hospital in Nigeria between January 2006 and December 2009.
  
  
  RESULTS
  The incidence of uterine rupture was 2.4%. Independent risk factors for repeat caesarean delivery were absence of prior vaginal delivery (OR 3.7; 95% CI 1.9-7.1), duration of latent phase >2 h (OR 4.3; 95% CI 1.7-11.2), postdated pregnancy (OR 2.2; 95% CI 1.1-4.0) and previous caesarean for non-recurrent indication (OR 2.1; 95% CI 1.1-4.0).
  
  
  CONCLUSIONS
  Choice of appropriate delivery option for this cohort of women based on the identified risk factors is essential to minimize the incidence of failed vaginal birth and its associated adverse maternal and neonatal outcome.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, Benin City, Nigeria. nelsonabiodun@yahoo.com
authors.forename: Biodun Nelson
authors.initials: BN
authors.lastname: Olagbuji
authors.forename: Friday
authors.initials: F
authors.lastname: Okonofua
authors.forename: Adedapo Babatunde
authors.initials: AB
authors.lastname: Ande
mesh_terms: D000328:Adult; D017604:Cesarean Section, Repeat / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D007751:Labor, Induced / Q000009:adverse effects*; D016015:Logistic Models; D015999:Multivariate Analysis; D016017:Odds Ratio; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors; D014597:Uterine Rupture / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery