(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.


 



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