Factors Predicting Uterine Rupture Following a Cesarean Section

Abstract

Objective: This study was conducted to evaluate factors that predict uterine rupture following a previous
cesarean section.
Study Design: A cross-sectional study.
Place and Duration of Study: The Study was conducted at the Department of Gynecology, Bakhtawar Amin
Hospital Multan, Pakistan from June 2022 to June 2023.
Methods: The study included 100 women who had previously given birth. Women who had a successful vaginal
birth after cesarean section (VBAC) were controls and who had rupture/scar dehiscence were considered
cases. Socio-demographic data and information related to delivery, labor, and pregnancy were collected.
Results: A total of 100 women (40 cases and 60 controls) were included in the study. All women had
spontaneous onset of labor. 12.5% (8) cases and 85% (51) controls had a successful vaginal birth after the
cesarean section (VBAC). 34.1% of all rupture cases happened during the second stage of labor and 41.4%
during the latent phase of labor. Upon arrival 30% (12) of cases had shock. Maternal complications in cases
included anemia (21 patients), death (2 patients), uterine artery involvement (3 patients), and bladder rupture
(4 patients). According to multivariate analysis factors including previous vagina delivery, duration of labor, fetal
weight, and number of ANC visits were significantly related to rupture of uterus after previous cesarean (P<.05).
Conclusion: Factors including prolonged labor, lesser antenatal care follows ups, and fetal weight > 3.8 kg
increase the likelihood of uterine rupture following a C-section. It is crucial to develop strict criteria, considering
intrapartum obstetric care, infrastructure, and referral system, for the selection of favorable candidates for trial
of labor.

How to cite this: Tabassum S, Khan B, Qureshi HZ, Imran H. Factors Predicting Uterine Rupture Following a Cesarean Section. Life and Science. 2024; 5(4): 446-451. doi: http://doi.org/10.37185/LnS.1.1.540