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(Posted as supplied by authors)
Uterine Rupture: Supplementary Table of Included Studies
|
Study |
Purpose of Study |
Population |
Sample Size |
Uterine exploration |
Reported outcomes |
Reported associated major morbidty |
|
Meehan 198918 |
Compare risk between of trial of labor and planned cesarean delivery after a previous cesarean. |
TOL-One prior CD ERCD- One or more prior CDs |
I- 127 A- 217 SL- 162 ERCD- 430 |
NR |
Symptomatic UR: TOL- 1 Asymptomatic UR: TOL- 5 |
Symptomatic UR: 0 perinatal deaths 0 maternal deaths |
|
Blanchette 199923 |
To compare PGE1 (misoprostol) to PGE2 (dinoprostone) for cervical ripening and induction in a community hospital. |
One or more LTCD, not clear what was done with unknown |
PGE1- 16 PGE2- 9 |
NR |
Symptomatic UR: PGE1- 3 Symptomatic UR: PGE2- 0 |
Symptomatic UR: PGE1- 0 maternal deaths, 1 perinatal death, 3 hysterectomies |
|
Flamm 198724 |
To compare the use of oxytocin for trial of labor in patients with one or more previous cesarean deliveries. |
LTCD and unknown and more than 1 prior |
IA- 485 SL- 1291 |
NR |
Symptomatic UR: IA- 2 SL- 1
Asymptomatic UR: IA-5 SL- 6 |
Symptomatic UR: Overall- 0 maternal deaths, insufficient detail for UR-related perinatal deaths or hysterectomies |
|
Flamm 199725 |
Evaluate the use of PGE2 for cervical ripening in patients with prior CD |
LTCD and unknown and more than 1 prior |
IA- 453 SL-4569 |
Discretion |
Symptomatic UR: IA- 6 SL- 33 |
Symptomatic UR: Overall- Insufficient detail for UR-related maternal deaths, perinatal deaths, or hysterectomies |
|
Blanco 199226 |
Determine safety and efficacy of induction with PGE2 in patients with a prior low transever CD |
One prior LTCD |
IA- 25 SL- 56 |
NR |
Symptomatic UR: IA-0 SL- 0 Asymptomatic UR: IA- 0 SL- 0 |
NA |
|
Connolly 200127 |
Identify risk factors for scar dehiscence in labor. |
Cases: 1 prior LTCD or low vertical CD who underwent TOL with dehiscence Controls: one prior LTCD or low vertical CD who underwent TOL without dehiscence |
Cases: 13 Controls: 13 |
NR |
8 partial dehiscence 5 complete dehiscence |
0 maternal deaths, 0 perinatal deaths, 0 hysterectomies |
|
Leung 199328 |
Identify risk of uterine rupture in a trial of labor after a previous cesarean delivery. |
Cases: patients with prior CD and UR while undergoing subsequent TOL Controls: patients with prior CD and subsequent TOL and no UR during same time, randomly selected, grouped by year (More than one and unknown allowed) |
Cases: 70 Controls: 70 |
Yes |
Symptomatic UR: 70 |
NR |
|
Leung 199329 |
Identify risk factors associated with overt, catastrophic uterine rupture after previous cesarean delivery. |
Case series of all cases of uterine rupture after a previous cesarean delivery |
99 URs |
NR |
Symptomatic UR: 99 |
Symptomatic UR: 1 maternal death, 6 perinatal deaths, 19 hysterectomies, 29 transfusions. |
|
Bujold 200230 |
Evaluate factors associated with neonatal disease and death caused by uterine rupture in patients undergoing a trial of labor after previous cesarean delivery. |
Case series of symptomatic UR following TOL after LTCD |
23 Urs |
NR |
Symptomatic UR: 23 |
Symptomatic UR: 1 perinatal death, 3 hypoxicischemic encephalopathies |
|
Smith 200211 |
Determine risk of intrapartum still birth or neonatal death between trial of labor after previous cesarean delivery and planned repeat cesarean delivery. |
Singleton pregnancies between 37-42 weeks, cephalic, without lethal congenital anomalies, one or more prior CD, not clear what was done with unknown and low vertical |
SL/IA- 15515 ERCD- 9014 |
NR |
NA |
Perinatal Death due to mechanical-TOL- 7 ERCD- 0 Mechanical-uterine rupture, cord compression (including prolapse), birth trauma, or asphysixa associated with disproportion. |
What can you learn from this BMJ paper? Read Leanne Tite's Paper+