Complicated primary cesarean delivery increases the risk for uterine rupture at subsequent trial of labor after cesarean
Archives of Gynecology and Obstetrics Jul 15, 2018
Salman L, et al. - Whether or not cesarean delivery (CD) indication, labor status, and other primary CD characteristics affect the risk for uterine rupture in subsequent deliveries was assessed via performing a case–control study of women attempting trial of labor after cesarean (TOLAC) in a single, tertiary, university-affiliated medical center (2007–2016). During the study period, researchers identified 3937 TOLAC deliveries. Findings suggest an association of postpartum hemorrhage and infection in the primary CD with increased risk for uterine rupture during subsequent TOLAC.
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