5 years ago

Lower Uterine Segment Thickness to Prevent Uterine Rupture and Adverse Perinatal Outcomes: A Multicenter Prospective Study

Bujold, E., Chaillet, N., Pasquier, J.C., Abdous, B., Boulvain, M., Brassard, N., Irion, O., Gauthier, R.J., Marcoux, S., Girard, M., Vachon-Marceau, C., Jastrow, N., Demers, S.
(Am J Obstet Gynecol. 2016;215(5):604.e1–604.e6) Worldwide, cesarean delivery has been on the rise over the past 30 years, in part due to a declining rate of trial of labor after cesarean delivery (TOLAC). Intrapartum uterine rupture is a very serious complication of TOLAC, and can result in severe maternal and perinatal outcomes, including perinatal asphyxia or death. Studies have suggested that the risk of uterine rupture can be predicted by assessing lower uterine segment (LUS) thickness. Utilizing a large prospective cohort of women attempting TOLAC, this study aimed to evaluate the occurrence of uterine rupture when LUS thickness was used to inform decision making.
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