Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study
Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a terti...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Zhou, Qiong [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Anmerkung: |
© Huazhong University of Science and Technology 2021 |
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| Übergeordnetes Werk: |
Enthalten in: Journal of Huazhong University of Science and Technology - Wuhan : Huazhong Univ. of Science and Technology, 2002, 42(2021), 1 vom: 03. Nov., Seite 177-184 |
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| Übergeordnetes Werk: |
volume:42 ; year:2021 ; number:1 ; day:03 ; month:11 ; pages:177-184 |
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| DOI / URN: |
10.1007/s11596-021-2460-9 |
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SPR050491040 |
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| 520 | |a Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. | ||
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10.1007/s11596-021-2460-9 doi (DE-627)SPR050491040 (SPR)s11596-021-2460-9-e DE-627 ger DE-627 rakwb eng Zhou, Qiong verfasserin aut Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Huazhong University of Science and Technology 2021 Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. Zhou, Xuan aut Feng, Ling aut Wang, Shao-shuai aut Enthalten in Journal of Huazhong University of Science and Technology Wuhan : Huazhong Univ. of Science and Technology, 2002 42(2021), 1 vom: 03. Nov., Seite 177-184 (DE-627)537444408 (DE-600)2376511-2 1993-1352 nnns volume:42 year:2021 number:1 day:03 month:11 pages:177-184 https://dx.doi.org/10.1007/s11596-021-2460-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_32 GBV_ILN_120 GBV_ILN_121 GBV_ILN_374 GBV_ILN_2700 GBV_ILN_2817 AR 42 2021 1 03 11 177-184 |
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10.1007/s11596-021-2460-9 doi (DE-627)SPR050491040 (SPR)s11596-021-2460-9-e DE-627 ger DE-627 rakwb eng Zhou, Qiong verfasserin aut Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Huazhong University of Science and Technology 2021 Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. Zhou, Xuan aut Feng, Ling aut Wang, Shao-shuai aut Enthalten in Journal of Huazhong University of Science and Technology Wuhan : Huazhong Univ. of Science and Technology, 2002 42(2021), 1 vom: 03. Nov., Seite 177-184 (DE-627)537444408 (DE-600)2376511-2 1993-1352 nnns volume:42 year:2021 number:1 day:03 month:11 pages:177-184 https://dx.doi.org/10.1007/s11596-021-2460-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_32 GBV_ILN_120 GBV_ILN_121 GBV_ILN_374 GBV_ILN_2700 GBV_ILN_2817 AR 42 2021 1 03 11 177-184 |
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10.1007/s11596-021-2460-9 doi (DE-627)SPR050491040 (SPR)s11596-021-2460-9-e DE-627 ger DE-627 rakwb eng Zhou, Qiong verfasserin aut Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Huazhong University of Science and Technology 2021 Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. Zhou, Xuan aut Feng, Ling aut Wang, Shao-shuai aut Enthalten in Journal of Huazhong University of Science and Technology Wuhan : Huazhong Univ. of Science and Technology, 2002 42(2021), 1 vom: 03. Nov., Seite 177-184 (DE-627)537444408 (DE-600)2376511-2 1993-1352 nnns volume:42 year:2021 number:1 day:03 month:11 pages:177-184 https://dx.doi.org/10.1007/s11596-021-2460-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_32 GBV_ILN_120 GBV_ILN_121 GBV_ILN_374 GBV_ILN_2700 GBV_ILN_2817 AR 42 2021 1 03 11 177-184 |
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10.1007/s11596-021-2460-9 doi (DE-627)SPR050491040 (SPR)s11596-021-2460-9-e DE-627 ger DE-627 rakwb eng Zhou, Qiong verfasserin aut Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Huazhong University of Science and Technology 2021 Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. Zhou, Xuan aut Feng, Ling aut Wang, Shao-shuai aut Enthalten in Journal of Huazhong University of Science and Technology Wuhan : Huazhong Univ. of Science and Technology, 2002 42(2021), 1 vom: 03. Nov., Seite 177-184 (DE-627)537444408 (DE-600)2376511-2 1993-1352 nnns volume:42 year:2021 number:1 day:03 month:11 pages:177-184 https://dx.doi.org/10.1007/s11596-021-2460-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_32 GBV_ILN_120 GBV_ILN_121 GBV_ILN_374 GBV_ILN_2700 GBV_ILN_2817 AR 42 2021 1 03 11 177-184 |
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10.1007/s11596-021-2460-9 doi (DE-627)SPR050491040 (SPR)s11596-021-2460-9-e DE-627 ger DE-627 rakwb eng Zhou, Qiong verfasserin aut Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Huazhong University of Science and Technology 2021 Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. Zhou, Xuan aut Feng, Ling aut Wang, Shao-shuai aut Enthalten in Journal of Huazhong University of Science and Technology Wuhan : Huazhong Univ. of Science and Technology, 2002 42(2021), 1 vom: 03. Nov., Seite 177-184 (DE-627)537444408 (DE-600)2376511-2 1993-1352 nnns volume:42 year:2021 number:1 day:03 month:11 pages:177-184 https://dx.doi.org/10.1007/s11596-021-2460-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_32 GBV_ILN_120 GBV_ILN_121 GBV_ILN_374 GBV_ILN_2700 GBV_ILN_2817 AR 42 2021 1 03 11 177-184 |
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Zhou, Qiong Zhou, Xuan Feng, Ling Wang, Shao-shuai |
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Elektronische Aufsätze |
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Zhou, Qiong |
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10.1007/s11596-021-2460-9 |
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complete rupture of the pregnant uterus: a 10-year retrospective descriptive study |
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Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study |
| abstract |
Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. © Huazhong University of Science and Technology 2021 |
| abstractGer |
Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. © Huazhong University of Science and Technology 2021 |
| abstract_unstemmed |
Objective The goal of this work is to analyze the incidence, etiology, clinical characteristics, maternal and neonatal outcomes of complete uterine rupture during pregnancy. Methods The information of complete uterine rupture between June 2010 and May 2020 was investigated retrospectively at a tertiary center, and included demographic data, delivery characteristics, intraoperative findings, and maternal and neonatal outcomes. The prevalence rate of uterine rupture in the early group (hospitalized from June 2010 to May 2015) and late group (June 2015 to May 2020) was compared and analyzed. Results There were 37 (0.056%) cases of complete uterine rupture in 66 092 births, including 27 (0.041%) of scar uterus and 10 (0.015%) of non-scarred uterus. High-risk factors for scarred uterine rupture included: previous cesarean section (13, 48.1%), myomectomy (8, 29.6%), corneal pregnancy resection (6, 22.2%), history of uterine rupture (1, 3.7%), and uterus perforation during abortion (1, 3.7%). Compared to the early group, the number of uterine ruptures caused by previous cesarean section was significantly reduced in the late group. Of the 10 patients with non-scarred uterine rupture, 3 (30%) occurred during delivery and 7 (70%) were spontaneous. Among the 37 complete rupture patients, 3 (8.1%) died of uterine scar rupture, 19 (51.3%) cases were reported with fetal/newborn deaths, 5 (13.5%) cases underwent hysterectomy and the rest were treated with uterine repair. Conclusion Complete uterine rupture often has catastrophic effect on pregnancy outcomes. Obstetrics doctors should be vigilant to identify the risk factors and clinical presentations of uterine rupture during pregnancy. Strict prenatal management is beneficial to improve pregnancy outcomes. © Huazhong University of Science and Technology 2021 |
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Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study |
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