PREGNANCY AFTER RUPTURE OF THE PREGNANT UTERUS
Edgar H. Ritchie
Abstract
Edgar H. Ritchie
Abstract
Summary Since 1932 a total of 194 women who had 253 pregnancies after rupture of the pregnant uterus have been listed, including the 28 patients with 36 such pregnancies who are the subject of this report. Twenty‐five of the women (12·8 per cent) had a repeat rupture. Two patients died. The risk of repeated rupture is least if the scar is confined to the lower uterine segment; greater if the scar extends into the upper segment; and greatest in patients who have had previous rupture of a classical Caesarean section scar. The management of these patients is discussed in the light of these findings.
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Summary Since 1932 a total of 194 women who had 253 pregnancies after rupture of the pregnant uterus have been listed, including the 28 patients with 36 such pregnancies who are the subject of this report. Twenty‐five of the women (12·8 per cent) had a repeat rupture. Two patients died. The risk of repeated rupture is least if the scar is confined to the lower uterine segment; greater if the scar extends into the upper segment; and greatest in patients who have had previous rupture of a classical Caesarean section scar. The management of these patients is discussed in the light of these findings.
Key concepts: Uterine rupture, Medicine, Uterus, Pregnancy, Caesarean section, Obstetrics, Gynecology, Internal medicine