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The risk of uterine...
The risk of uterine rupture is not increased with single- compared with double-layer closure : a Swedish cohort study
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- Hesselman, Susanne, 1973- (author)
- Uppsala universitet,Obstetrik & gynekologi,Obstetrisk forskning/Högberg
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- Högberg, Ulf, 1949- (author)
- Uppsala universitet,Obstetrik & gynekologi,Obstetrisk forskning/Högberg
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- Ekholm Selling, Katarina, 1976- (author)
- Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Internationell barnhälsa och nutrition/Persson
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- Råssjö, E-B (author)
- Center for Clinical Research, Dalarna, Falun, Sweden
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- Jonsson, Maria, 1966- (author)
- Uppsala universitet,Obstetrik & gynekologi,Obstetrisk forskning/Högberg
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(creator_code:org_t)
- 2014-08-04
- 2015
- English.
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In: British Journal of Obstetrics and Gynecology. - : Wiley. - 1470-0328 .- 1471-0528. ; 122:11, s. 1535-1541
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- OBJECTIVE:To compare single- with double-layer closure of the uterus for the risk of uterine rupture in women attempting vaginal birth after one prior caesarean delivery.DESIGN:Cohort study.SETTING:Sweden.POPULATION:From a total of 19 604 nulliparous women delivered by caesarean section in the years 2001-2007, 7683 women attempting vaginal birth in their second delivery were analysed.METHODS:Data from population-based registers were linked to hospital-based registers that held data from maternity and delivery records. Logistic regression was used to estimate the risk of uterine rupture after single- or double-layer closure of the uterus. Results are presented as odds ratios (ORs) with 95% confidence intervals (95% CIs).MAIN OUTCOME MEASURE:Uterine rupture.RESULTS:Uterine rupture during labour occurred in 103 (1.3%) women. There was no increased risk of uterine rupture when single- was compared with double-layer closure of the uterus (OR 1.17; 95% CI 0.78-1.76). Maternal factors associated with uterine rupture were: age ≥35 years and height ≤160 cm. Factors from the first delivery associated with uterine rupture in a subsequent delivery were: infection and giving birth to an infant large for gestational age. Risk factors from the second delivery were induction of labour, use of epidural analgesia, and a birthweight of ≥4500 g.CONCLUSIONS:There was no significant difference in the rate of uterine rupture when single-layer closure was compared with double -layer closure of the uterus.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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