Analysis of uterine ruptures in Vysočina region in 5 years period

Authors: A. Roztočil;  P. Antonín;  R. Petřík;  F. Petrů;  V. Žižlavský
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice Jihlava ;  Gynekologicko-porodnické oddělení, Nemocnice Havlíčkův Brod ;  Gynekologicko-porodnické oddělení, Nemocnice Pelhřimov ;  Gynekologicko-porodnické oddělení, Nemocnice Nové Město na Moravě ;  Gynekologicko-porodnické oddělení, Nemocnice Třebíč
Published in: Čes. Gynek.2010, 75, č. 5 s. 429-434


To evaluate the number and circumstances of uterine ruptures in five years period from 2005 to 2009 in five regional departments of gynecology and obstetrics of Vysočina region. To describe the uterine ruprures in case reports and to compare them with literature datas.

Retrospective, multiceter, descriptive study.

Jihlava, Havlíčkův Brod, Pelhřimov, Nové Město na Moravě and Třebíč departments of gynecology and obstetrics.

Retrospective data collection, statistical evaluation, case description and the system leading to prevention of uterine ruptures.

In the evaluated period from 2005 to 2009 there were 25 195 deliveries in the 5 above mentioned departments of gynecology and obstetrics of Vysočina region. There were 4 440 (17,6%) C. sections performed, 20 postpartum hysterectomies and 6 uterine ruptures (1/4 200 deliveries). One case of uterine rupture was letal.

The above mentioned results prove that the frequency of uterine ruptures in the Vysočina region (1/4 200) is lower than in US (1/ 1 519). Early diagnosis of uterine rupture is very often difficult, that may lead to the delay of adequate treatment.

Key words:
uterine rupture, postpartum hysterectomy, Caesarean section.


1. Blanchette, H., Blanchette, M., McCabe, J., Vincent, S. Is vaginal birth after cesarean safe? Experience at a community hospital. Am J Obstet Gynecol, 2001, 184(7), p. 1478-1484; discussion 1484-1487.

2. Bujold, E., Bujold, C., Hamilton, EF., et al. The impact of a single-layer or double-layer closure on uterine rupture. Am J Obstet Gynecol, 2002, 186(6), p. 1326-1330.

3. Bujold, E., Mehta, SH., Bujold, C., Gauthier, RJ. Interdelivery interval and uterine rupture. Am J Obstet Gynecol, 2002, 187(5), p. 1199-1202.

4. Esposito, MA., Menihan, CA., Malee, MP. Association of interpregnancy interval with uterine scar failure in labor: a case-control study. Am J Obstet Gynecol, 2000, 183(5), p. 1180-1183.

5. Gardeil, F., Daly, S., Turner, MJ. Uterine rupture in pregnancy reviewed. Eur J Obstet Gynecol Reprod Biol, 1994, 56, p. 107‑110.

6. Golan, A., Sandbank, O., Rubin, A. Rupture of the pregnant uterus. Obstet Gynecol, 1980, 56(5), p. 549-554.

7. Gotoh, H., Masuzaki, H., Yoshida, A., et al. Predicting incomplete uterine rupture with vaginal sonography during the late second trimester in women with prior cesarean. Obstet Gynecol, 2000, 95(4), p. 596-600.

8. Leung, AS., Leung, EK., Paul, RH. Uterine rupture after previous cesarean delivery: maternal and fetal consequences. Am J Obstet Gynecol, 1993, 169(4), p. 945-950.

9. Lydon-Rochelle, M., Holt, VL., Easterling, TR., Martin, DP. Risk of uterine rupture during labor among women with a prior cesarean delivery. N Engl J Med, 2001, 345(1), p. 3-8.

10. Menihan, CA. Uterine rupture in women attempting a vaginal birth following prior cesarean birth. J Perinatol, 1998, 18(6 Pt 1), p. 440-443.

11. Nahum, GG. Uterine rupture in pregnancy, emedline, medscape. Com, 2010.

12. Ravasia, DJ., Brain, PH., Pollard, JK. Incidence of uterine rupture among women with mullerian duct anomalies who attempt vaginal birth after cesarean delivery. Am J Obstet Gynecol, 1999, 181(4), p. 877-881.

Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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