Uterine rupture associated wıth misoprostol labor induction in women with previous cesarean delivery

 

 A retrospective chart review was used to select patients who underwent induction of labor with misoprostol during the period from February 1999 to June 2002. Women with a history of cesarean delivery were retrospectively compared with those without uterine scarring. Criteria for patients receiving misoprostol included intrauterine fetal death and a Bishop score <6. Unexplained vaginal bleeding, history of prior classic cesarean delivery or major uterine surgery, and fetal malpresentation were the exclusion criteria. Fifty micrograms of misoprostol was placed in the posterior vaginal fornix. If after 4 hours the patient stili met the inclusion criteria, second dose of vaginal misoprostol was given. An oral dose of 100 ug was repeated every four hours for a total of six doses.