Arşiv
Ara
Dergi Kimliği
Online ISSN
1305-3132
Yayın Dönemi
1993 - 2021
Editor-in-Chief
Cihat Şen, Nicola Volpe
Editors
Daniel Rolnik, Mar Gil, Murat Yayla, Oluş Api
Uterine rupture associated wıth misoprostol labor induction in women with previous cesarean delivery
Künye
Uterine rupture associated wıth misoprostol labor induction in women with previous cesarean delivery. Perinatoloji Dergisi 2002;10(3):240-240
Yazar Bilgileri
- SSK Bakırköy Maternity and Children Hospital Department of Perinatology İstanbul TR
Yayın Geçmişi
Çıkar Çakışması
Çıkar çakışması bulunmadığı belirtilmiştir.
Amaç
To review our experience with uterine rupture in patients undergoing a trial of labor with a history of previous cesarean delivery in which labor was induced with misoprostol.
Yöntem
Bulgular
Uterine rupture occured in 4 of 41 patients with previous cesarean delivery who had labor induced with misoprostol. The rate of uterine rupture (9.7%) was significantly higher in patients with a previous cesarean delivery (p< .001). No uterine rupture occured in patients without uterine scarring. Women with a history of cesarean delivery were more likely to have oxytocin augmentation than those without uterine scarring (41% vs 20%; p= .037).
Sonuç
Misoprostol induction of labor increases the risk of uterine rupture in women with a history of cesarean delivery.
To review our experience with uterine rupture in patients undergoing a trial of labor with a history of previous cesarean delivery in which labor was induced with misoprostol.
Yöntem
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.
Bulgular
Uterine rupture occured in 4 of 41 patients with previous cesarean delivery who had labor induced with misoprostol. The rate of uterine rupture (9.7%) was significantly higher in patients with a previous cesarean delivery (p< .001). No uterine rupture occured in patients without uterine scarring. Women with a history of cesarean delivery were more likely to have oxytocin augmentation than those without uterine scarring (41% vs 20%; p= .037).
Sonuç
Misoprostol induction of labor increases the risk of uterine rupture in women with a history of cesarean delivery.
Anahtar Kelimeler
-
|
Makale Türü Bildiri Özeti |
|
Sayfalar 240-240 |
|
Künye |
| Perinatoloji Dergisi 2002; 10 (3) |
| PDF Olarak İndir |