Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO Multicountry Survey on Maternal and Newborn Health

Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO Multicountry Survey on Maternal and Newborn Health

Author Motomura, Kenichiro Google Scholar
Ganchimeg, Togoobaatar Google Scholar
Nagata, Chie Google Scholar
Ota, Erika Google Scholar
Vogel, Joshua P. Google Scholar
Betran, Ana Pilar Google Scholar
Torloni, Maria Regina Autor UNIFESP Google Scholar
Jayaratne, Kapila Google Scholar
Jwa, Seung Chik Google Scholar
Mittal, Suneeta Google Scholar
Recidoro, Zenaida Dy Google Scholar
Matsumoto, Kenji Google Scholar
Fujieda, Mikiya Google Scholar
Nafiou, Idi Google Scholar
Yunis, Khalid Google Scholar
Qureshi, Zahida Google Scholar
Souza, Joao Paulo Google Scholar
Mori, Rintaro Google Scholar
Abstract Caesarean section (CS) is increasing globally, and women with prior CS are at higher risk of uterine rupture in subsequent pregnancies. However, little is known about the incidence, risk factors, and outcomes of uterine rupture in women with prior CS, especially in developing countries. To investigate this, we conducted a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health, which included data on delivery from 359 facilities in 29 countries. The incidence of uterine rupture among women with at least one prior CS was 0.5% (170/37,366), ranging from 0.2% in high-Human Development Index (HDI) countries to 1.0% in low-HDI countries. Factors significantly associated with uterine rupture included giving birth in medium-or low-HDI countries (adjusted odds ratio [AOR] 2.0 and 3.88, respectively), lower maternal educational level (<= 6 years) (AOR 1.71), spontaneous onset of labour (AOR 1.62), and gestational age at birth < 37 weeks (AOR 3.52). Women with uterine rupture had significantly higher risk of maternal death (AOR 4.45) and perinatal death (AOR 33.34). Women with prior CS, especially in resource-limited settings, are facing higher risk of uterine rupture and subsequent adverse outcomes. Further studies are needed for prevention/management strategies in these settings.
xmlui.dri2xhtml.METS-1.0.item-coverage London
Language English
Sponsor UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP)
World Health Organization (WHO)
United States Agency for International Development (USAID)
Ministry of Health, Labour and Welfare of Japan
Gynuity Health Projects
Japan Agency for Medical Research and Development, AMED
Date 2017
Published in Scientific Reports. London, v. 7, p. -, 2017.
ISSN 2045-2322 (Sherpa/Romeo, impact factor)
Publisher Nature Publishing Group
Extent -
Origin http://dx.doi.org/10.1038/srep44093
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000395889400001
URI https://repositorio.unifesp.br/handle/11600/54932

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