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Risk factors and symptoms associated with maternal and neonatal complications in women with uterine rupture.

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eMediNexus    16 September 2017

A new study published in the European Journal of Obstetrics, Gynecology, and Reproductive Biology aimed to determine the risk factors and signs for maternal and fetal complications in patients with uterine rupture. In this retrospective, population-based study, 126 patients with complete uterine rupture were identified between 2000 and 2015. The results showed that overall, 74 (58.7%) had maternal and fetal complications; and these were more frequently observed in patients with unscarred uterus, lateral injured uterus, after labor induction, and in case of a sudden onset of abdominal pain in patients with previous successful epidural analgesia. Thus, it was concluded that unscarred and lateral ruptures of the uterus were associated with maternal vascular injuries, and higher maternal and fetal complications. It was stated that a sudden onset of abdominal pain in a woman with previous successful epidural analgesia may indicate a complicated uterine rupture.

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