DefinePK

Abstract

Objective: This study was conducted to evaluate factors that predict uterine rupture following a previouscesarean section.Study Design: A cross-sectional study.Place and Duration of Study: The Study was conducted at the Department of Gynecology, Bakhtawar AminHospital Multan, Pakistan from June 2022 to June 2023.Methods: The study included 100 women who had previously given birth. Women who had a successful vaginalbirth after cesarean section (VBAC) were controls and who had rupture/scar dehiscence were consideredcases. Socio-demographic data and information related to delivery, labor, and pregnancy were collected.Results: A total of 100 women (40 cases and 60 controls) were included in the study. All women hadspontaneous onset of labor. 12.5% (8) cases and 85% (51) controls had a successful vaginal birth after thecesarean section (VBAC). 34.1% of all rupture cases happened during the second stage of labor and 41.4%during the latent phase of labor. Upon arrival 30% (12) of cases had shock. Maternal complications in casesincluded anemia (21 patients), death (2 patients), uterine artery involvement (3 patients), and bladder rupture(4 patients). According to multivariate analysis factors including previous vagina delivery, duration of labor, fetalweight, and number of ANC visits were significantly related to rupture of uterus after previous cesarean (P<.05).Conclusion: Factors including prolonged labor, lesser antenatal care follows ups, and fetal weight > 3.8 kgincrease the likelihood of uterine rupture following a C-section. It is crucial to develop strict criteria, consideringintrapartum obstetric care, infrastructure, and referral system, for the selection of favorable candidates for trialof labor.
How to cite this: Tabassum S, Khan B, Qureshi HZ, Imran H. Factors Predicting Uterine Rupture Following a Cesarean Section. Life and Science. 2024; 5(4): 446-451. doi: http://doi.org/10.37185/LnS.1.1.540