The association between acute lower abdominal pain over a previous caesarean scar and uterine rupture
| Autor: | Maya Frank Wolf, Maayan Ben-Nun, Inshirah Sgayer, Oleg Shnaider, Alaa Aiob, Marwan Odeh, Jacob Bornstein |
|---|---|
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Obstetrics and Gynaecology. 42:1169-1173 |
| ISSN: | 1364-6893 0144-3615 |
| DOI: | 10.1080/01443615.2022.2027896 |
| Popis: | Pregnant women with previous caesarean delivery might suffer from acute lower abdominal pain located at the site of previous caesarean scar (CS). The association between this complaint and uterine rupture (UR) is not fully understood. Therefore, we aimed to examine the risk of UR in women with acute persistent abdominal pain (APAP) over a previous CS and to investigate all the women with UR, with or without APAP and with or without previous CS, in order to determine risk factors, clinical presentation and management. We performed a retrospective analysis on two study groups: women who had APAP over previous CS and women who had UR. We found an incidence of UR in patients with APAP over the previous CS was 0.7%; which doubled the total UR rate among women with previous caesarean in our medical centre (0.35%). Forty percent of the women with APAP over a previous CS had preterm delivery. Twenty percent of the cases of UR occurred in preterm weeks. To conclude, APAP over a previous CS is associated with a doubled risk of UR. Considering this symptom as a preliminary sign of UR might lead to elevated rate of iatrogenic preterm deliveries.Impact statement |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|