Department of Obstetrics and Gynecology in King Fahad University Hospital, University of Dammam, Dammam, Saudi Arabia.
Arch Gynecol Obstet. 2011 Nov;284(5):1123-6. doi: 10.1007/s00404-010-1831-4. Epub 2011 Jan 7.
To review the pregnancy outcome in women with previous complete uterine rupture.
Hospital records of uterine rupture were reviewed from January 1981 to June 2010. All files of these patients were reviewed and patients were contacted by telephone calls to inquire about any further pregnancies after the uterine rupture.
Out of 69,452 deliveries, there were a total of 27 cases of uterine rupture. There were 20 pregnancies after repair of complete uterine rupture and 10 of them resulted in live babies, all delivered by cesarean section. Eight pregnancies ended as first-trimeter miscarriages. One pregnancy resulted in preterm vaginal delivery at 24 weeks. There was only one repeat uterine rupture. There were no cases of cesarean hysterectomy. Four women agreed to undergo tubal ligation after the last delivery and two used other contraceptive methods. Two women were being followed for secondary infertility.
Pregnancy after uterine rupture is associated with relatively good maternal and neonatal outcome when followed in a tertiary center.
回顾既往完全性子宫破裂妇女的妊娠结局。
对 1981 年 1 月至 2010 年 6 月的子宫破裂住院病历进行了回顾性分析。对所有患者的病历进行了查阅，并通过电话联系了患者，询问其子宫破裂后的进一步妊娠情况。
在 69452 例分娩中，共有 27 例子宫破裂。完全性子宫破裂修补术后妊娠 20 例，其中 10 例活产，均行剖宫产分娩。8 例妊娠于孕早期流产。1 例妊娠于 24 周早产，阴道分娩。仅有 1 例再次发生子宫破裂。无一例行剖宫产子宫切除术。4 例产妇在最后一次分娩后同意行输卵管结扎术，2 例采用其他避孕方法。2 例患者正在随访继发性不孕。
在三级中心随访的情况下，子宫破裂后妊娠母婴结局相对较好。
