WOMENS-HEALTH Messages for May, 1997: Re: uterine rupture

Re: uterine rupture

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 23 May 1997 19:31:46 -0500 (CDT)

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In reply to: K.Tice: "uterine rupture"

At Thu, 22 May 1997, K.Tice wrote: >
>I had a c-section with my first pregnancy after 15 hours labor. The
>incision was a horzontal bikini line cut, and healed well without any
>problems. I am now pregnant with my second child and am a candidate for
>VBAC. My question is what is the risk of maternal and fetal morbidity
>as far as the risks of the uterus rupturing from VBAC?

First, let me say that statistics are static numberws that tell you nothing about you. If we say it's a 3%chance and it happens to you, it's 100%. That said, the risk of maternal and fetal morbidity is very low.

>I understand the
>risks of the uterus rupturing with the paticular uterine scar I have are
>very low, but if it did happen what is the risk of morbidity to myself
>or my child?

My recollection of a number quoted by a recent lecturer and some things I've read in the past :risk of dehiscence of uterine scar 1:200 to 1:500, risk of hysterectomy secondary to rupture of scar 1:500 times1:37 (give or take). If continous fetal monitoring is carried out, anesthesia is nearly immediately available, the hospital is equipped for an immediate section/surgery and the peds department is ready, it's a walk in the park :-)

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/heroes/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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