Unscarred uterine rupture and subsequent pregnancy outcome-a tertiary centre experience

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dc.authorid0000-0002-3285-9990en_US
dc.authorid0000-0002-6941-6851en_US
dc.contributor.authorPeker, Nurullah
dc.contributor.authorAydın, Edip
dc.contributor.authorEvsen, Mehmet Sıddık
dc.contributor.authorHançer, Fatma Nur
dc.contributor.authorBademkıran, Muhammed Hanifi
dc.contributor.authorEge, Serhat
dc.contributor.authorKahveci, Bekir
dc.contributor.authorKaraçor, Talip
dc.contributor.authorGül, Talip
dc.date.accessioned2021-09-02T12:22:19Z
dc.date.available2021-09-02T12:22:19Z
dc.date.issued2020en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.descriptionPMID:32083306
dc.description.abstractObjectives: The aim of this study was to investigate the incidence, etiology and obstetric outcomes of rupture in unscarred uterine rupture and in those with a history of uterine rupture Material and methods: The hospital records of women who had delivered between May 2005 and May 2017 at a tertiary center were examined retrospectively. Data on patients with unscarred uterine rupture in pregnancy who had undergone fertility-preserving surgery were evaluated. Results: During the study period, 185,609 deliveries occurred. Of those, unscarred uterine rupture has occurred in 67 women. There were no ruptures reported in nulliparous women. The rupture was observed in the isthmic region in 60 (89.6%) patients and in the fundus in 7 (10.4%) patients. Thirty-eight (56.7%) patients had undergone a total or subtotal hysterectomy, and 29 (43.3%) patients had received primary repair. Ten patients had reconceived after the repair. Of these, eight patients who had a history of isthmic rupture, successfully delivered by elective C-section at 36-37 wk. of gestation, and two experienced recurrent rupture at 33 and 34 wk. of gestation, respectively. Both patients had a history of fundal rupture, and their inter-pregnancy interval was 9 and 11 mo., respectively. Conclusions: The incidence of rupture in unscarred pregnant uteri was found to be one per 2,770 deliveries. Owing to the high morbidity, regarding more than half of the cases with rupture eventuated in hysterectomy, clinicians should be prudent in induction of labour for multiparous women since it was the main cause of rupture in this series. Short inter-pregnancy intervals and history of fundal rupture may confer a risk for rupture recurrence. Those risk factors for recurrence should be validated in another studies.en_US
dc.identifier.citationPeker, N., Aydın, E., Evsen, M. S., Hançer, F. N., Bademkıran, M. H. ve Ege, S. (2020). Unscarred uterine rupture and subsequent pregnancy outcome-a tertiary centre experience. Ginekologia Polska, 91(2), 95-99.en_US
dc.identifier.doi10.5603/GP.a2020.0012
dc.identifier.endpage99en_US
dc.identifier.issn0017-0011
dc.identifier.issue2en_US
dc.identifier.pmid32083306
dc.identifier.scopus2-s2.0-85081914507
dc.identifier.scopusqualityQ3
dc.identifier.startpage95en_US
dc.identifier.urihttps://journals.viamedica.pl/ginekologia_polska/article/view/65770
dc.identifier.urihttps://hdl.handle.net/11468/7420
dc.identifier.volume91en_US
dc.identifier.wosWOS:000519696800009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorPeker, Nurullah
dc.institutionauthorEvsen, Mehmet Sıddık
dc.institutionauthorGül, Talip
dc.language.isotren_US
dc.publisherVia Medicaen_US
dc.relation.ispartofGinekologia Polska
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPregnancy outcomeen_US
dc.subjectRecurrent uterine ruptureen_US
dc.subjectTiming of deliveryen_US
dc.subjectUnscarred uterine ruptureen_US
dc.subjectUterine repairen_US
dc.titleUnscarred uterine rupture and subsequent pregnancy outcome-a tertiary centre experienceen_US
dc.titleUnscarred uterine rupture and subsequent pregnancy outcome-a tertiary centre experience
dc.typeArticleen_US

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