ArticleBMJ open2016
Nationwide population-based cohort study of uterine rupture in Belgium: results from the Belgian Obstetric Surveillance System.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis.Scientific reports · 2020Pooled it
- The Intraoperative Median Effective Dose of Oxytocin for Preventing Uterine Atony in Parturients with a Prior History of Caesarean Delivery.Clinical drug investigation · 2021Trial
- The three obstetrics delays determine uterine rupture at Nekemte specialized hospital: a hospital-based case-control study.Scientific reports · 2026Article
- Case series of 9 cases of intra-abdominal hemorrhage in mid- to late-term pregnancy.BMC pregnancy and childbirth · 2025Article
- Analysis of the uterine rupture during pregnancy and delivery in a provincial maternal and children care hospital in China: 2013-2022.BMC pregnancy and childbirth · 2025Article
- [Retrospective study of 60 cases of uterine rupture at the Maternity Center of Monastir, Tunisia].The Pan African medical journal · 2024Article
- Article
- Late miscarriage and stillbirth in asymptomatic and symptomatic hospitalised pregnant women in Belgium during the first and second waves of COVID-19: a prospective nationwide population-based study.BMC pregnancy and childbirth · 2023Observational
- Article
- Learning from maternal deaths due to uterine rupture: review of cases from peri-urban Uganda.AJOG global reports · 2022Article
- Pregnancy complications and risk of uterine rupture among women with singleton pregnancies in China.BMC pregnancy and childbirth · 2022Article
- Complete Rupture of the Pregnant Uterus: A 10-year Retrospective Descriptive Study.Current medical science · 2022Article
- Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study.BMC pregnancy and childbirth · 2022Article
- Planned mode of birth after previous cesarean section: A structured review of the evidence on the associated outcomes for women and their children in high-income setting.Frontiers in medicine · 2022Review
- Data Resource Profile: Xiamen registry of pregnant women and offspring (REPRESENT): a population-based, long-term follow-up database linking four major healthcare data platforms.International journal of epidemiology · 2021Article
- Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2021Article
- The Belgian Obstetric Surveillance System to monitor severe maternal morbidity.Facts, views & vision in ObGyn · 2017Article
- Article
- Recurrent Interstitial Pregnancy: a Review of the Literature.Geburtshilfe und Frauenheilkunde · 2017Article
- Uterine rupture in pregnancy over 5 years: A retrospective descriptive study.Women's health (London, England)Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to assess the prevalence of uterine rupture in Belgium and to evaluate risk factors, management and outcomes for mother and child.
designNationwide population-based prospective cohort study.
settingEmergency obstetric care. Participation of 97% of maternity units covering 98.6% of the deliveries in Belgium.
participantsAll women with uterine rupture in Belgium between January 2012 and December 2013. 8 women were excluded because data collection forms were not returned.
resultsData on 90 cases of confirmed uterine rupture were obtained, of which 73 had a previous Caesarean section (CS), representing an estimated prevalence of 3.6 (95% CI 2.9 to 4.4) per 10 000 deliveries overall and of 27 (95% CI 21 to 33) and 0.7 (95% CI 0.4 to 1.2) per 10 000 deliveries in women with and without previous CS, respectively. Rupture occurred during trial of labour after caesarean section (TOLAC) in 57 women (81.4%, 95% CI 68% to 88%), with a high rate of augmented (38.5%) and induced (29.8%) labour. All patients who underwent induction of labour had an unfavourable cervix at start of induction (Bishop Score ≤7 in 100%). Other uterine surgery was reported in the history of 22 cases (24%, 95% CI 17% to 34%), including 1 case of myomectomy, 3 cases of salpingectomy and 2 cases of hysteroscopic resection of a uterine septum. 14 cases ruptured in the absence of labour (15.6%, 95% CI 9.5% to 24.7%). No mothers died; 8 required hysterectomy (8.9%, 95% CI 4.6% to 16.6%). There were 10 perinatal deaths (perinatal mortality rate 117/1000 births, 95% CI 60 to 203) and perinatal asphyxia was observed in 29 infants (34.5%, 95% CI 25.2% to 45.1%).
conclusionsThe prevalence of uterine rupture in Belgium is similar to that in other Western countries. There is scope for improvement through the implementation of nationally adopted guidelines on TOLAC, to prevent use of unsafe procedures, and thereby reduce avoidable morbidity and mortality.
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