Vilchez G, et al. - A nationwide population-based study is conducted to investigate the current risks of uterine rupture and main preceding factors from more recent years compared to previous information. Despite policies implemented and changes in clinical practice, uterine rupture remains an imperative issue. Previously unidentified risk factors are now playing a vital role, data that ought to be considered amid patient counseling and clinical practice. Combinations of some of these factors may increase the risk of uterine rupture significantly enough to modify clinical care.