Evidence map›Paper›PMID 32344763›Full record

ReviewInternational journal of environmental research and public health2020

First Trimester Uterine Rupture: A Case Report and Literature Review.

Fabiana Cecchini, Alice Tassi, Ambrogio P Londero, Giovanni Baccarini, Lorenza Driul, Serena Xodo

Abstract readCase ReportsReview
In one paragraph

Review in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  11. Scar Tissue after a Cesarean Section-The Management of Different Complications in Pregnant Women.International journal of environmental research and public health · 2021
    Review
  12. Risk management of vaginal birth after cesarean section (Review).Experimental and therapeutic medicine · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fabiana CecchiniDepartment of Gynecology and Obstetrics, School of Medicine of Udine, 33100 Udine, Italy.
Alice TassiDepartment of Gynecology and Obstetrics, School of Medicine of Udine, 33100 Udine, Italy.
Ambrogio P LonderoDepartment of Gynecology and Obstetrics, School of Medicine of Udine, 33100 Udine, Italy.ORCID 0000-0001-6429-1220
Giovanni BaccariniDepartment of Gynecology and Obstetrics, School of Medicine of Udine, 33100 Udine, Italy.
Lorenza DriulDepartment of Gynecology and Obstetrics, School of Medicine of Udine, 33100 Udine, Italy.ORCID 0000-0003-1896-9410
Serena XodoDepartment of Gynecology and Obstetrics, School of Medicine of Udine, 33100 Udine, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim is to report a case of spontaneous uterine rupture in the first trimester of pregnancy and to review the literature on the topic.

methodsA literature search was performed using PubMed and Scopus. Relevant English articles were identified without any time or study limitations. The data were aggregated, and a summary statistic was calculated.

resultsA 35-year-old gravida 5, para 2 was admitted at our department because of fainting and abdominal pain. The woman had a first-trimester twin pregnancy and a history of two previous cesarean sections (CSs). Suspecting a uterine rupture, an emergency laparotomy was performed. The two sacs were completely removed, and the uterine rupture site was closed with a double-layer suture. The patient was discharged from hospital four days later in good condition. On the basis of this experience, a total of 76 case reports were extracted from PubMed and included in the review. Fifty-three patients out of 76 (69.74%) underwent previous surgery on the uterus. Most women (67.92%) had a CS, and in this group a cesarean scar pregnancy (CSP) or a placenta accreta spectrum (PAS) disorder was found to be the etiology in 77.78% of cases. Furthermore, 35.85% of the women had hysterectomy after uterine rupture. Twenty-three patients out of 76 (30.26%) had an unscarred uterus. Of this group, most women presented a uterine anomaly (43.48%). Moreover, 17.39% of these women had a hysterectomy.

conclusionAccording to the literature, the current pandemic use of CS explains most cases of first-trimester uterine rupture.

Indexed as

Placenta AccretaUterine RuptureAdultCesarean SectionFemaleHumansPregnancyPregnancy Trimester, FirstPregnancy Trimester, Secondcesarean sectionfirst trimesteruterine rupture

Identifiers

PMID32344763
PMCPMC7215710

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.