Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Apr 1;19(1):20240927.
doi: 10.1515/med-2024-0927. eCollection 2024.

Clinical analysis of incomplete rupture of the uterus secondary to previous cesarean section

Hong Yang  1 , Yun Zhao  1 , Jiahui Tu  1 , Yanan Chang  2 , Chanyun Xiao  3
Affiliations

Clinical analysis of incomplete rupture of the uterus secondary to previous cesarean section

Hong Yang et al. Open Med (Wars). .

Abstract

Uterine rupture is a rupture of the body or lower part of the uterus during pregnancy or delivery. Total of 98 cases with incomplete uterine rupture were classified as the incomplete uterine rupture group, 100 cases with a history of cesarean delivery without uterine rupture were classified as the non-ruptured uterus group, and controls were selected using a systematic sampling method. The maternal age ≥35 years were associated with 2.18 times higher odds of having an incomplete uterine rupture. The odd of having an incomplete uterine rupture was 3.744 times higher for a woman with delivery interval ≤36 months. Having pregnancy complication was associated with 3.961 times higher odds of having an incomplete uterine rupture. The neonatal weight was lighter in the incomplete uterine rupture group (P = 0.007). The number of preterm birth and transfer to the NICU were higher in the incomplete uterine rupture group (P ＜ 0.01). The operation time and the length of time in hospital were longer in the group with incomplete uterine rupture (P ＜ 0.01). Age ≥35 years, delivery interval ≤36 month, and pregnancy with complication were independent risk factors of incomplete rupture of the uterus secondary to previous cesarean section.

Keywords: cesarean section; myometrium thickness; ultrasound; uterine rupture.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None.

Figures

Figure 1
Figure 1
ROC: The sensitivity and specificity of lower uterine myometrial thickness with the incomplete ruptured uterus secondary to previous cesarean.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Abrar S, Abrar T, Sayyed E, Naqvi SA. Ruptured uterus: frequency, risk factors and feto-maternal outcome: current scenario in a low-resource setup. PLoS One. 2022;17(4):e0266062. - PMC - PubMed
    1. Hofmeyr GJ, Say L, Gülmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG. 2005;112(9):1221–8. - PubMed
    1. Zhan W, Zhu J, Hua X, Ye J, Chen Q, Zhang J. Epidemiology of uterine rupture among pregnant women in China and development of a risk prediction model: analysis of data from a multicentre, cross-sectional study. BMJ Open. 2021;11(11):e054540. - PMC - PubMed
    1. Wan S, Yang M, Pei J, Zhao X, Zhou C, Wu Y, et al. Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study. BMC Pregnancy Childbirth. 2022;22(1):91. - PMC - PubMed
    1. Li HT, Hellerstein S, Zhou YB, Liu JM, Blustein J. Trends in cesarean delivery rates in China, 2008–2018. JAMA. 2020;323(1):89–91. - PMC - PubMed

LinkOut - more resources