Miscarriage: Odds ratio (OR) 3.99 (95% CI, 1.36 to 13.17)
Uterine rupture recurrence: OR 11.7 (95% CI, 1.36 to 543.1)
There were no significant associations between previous complete uterine rupture and
Hysterectomy in relation to subsequent births
Diagnosis such as meno/metrorrhagia, dysmenorrhea
Procedures such as hysteroscopy or hysterectomy
Neonatal morbidity among cases
Live born infants (delivery >22 weeks): 98.6%
Severe neonatal morbidity: 0 cases
A prior history of complete uterine rupture after TOLAC was associated with an increased risk for miscarriage and uterine rupture recurrence although approximately 99% of pregnancies ended in live birth without severe neonatal morbidity
Data supports plan for earlier delivery for medical indication
The authors state
There is no evidence suggesting that a woman with a previous complete uterine rupture should be advised against a future pregnancy when delivery is by a planned cesarean section before onset of labor, or early in labor in the case of preterm delivery
Women should be advised of a small-to-modest risk of uterine rupture in subsequent pregnancy
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