Evidence map›Paper›PMID 36271922›Full record

ArticleArchives of gynecology and obstetrics2023

Uterine rupture and factors associated with adverse outcomes.

Stefania K Finnsdottir, Parmida Maghsoudlou, Kristen Pepin, Xiangmei Gu, Daniela A Carusi, Jon I Einarsson, Sarah L Cohen Rassier

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Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.2field-weighted citation impact, top 51% of its field
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

7 citing papers in PubMed, 1 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Stefania K FinnsdottirDivision of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, MA, US.ORCID 0000-0002-8664-3319
Parmida MaghsoudlouDivision of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, MA, US.
Kristen PepinDivision of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, MA, US.
Xiangmei GuDivision of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, MA, US.
Daniela A CarusiDepartment of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, US.
Jon I EinarssonDivision of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, MA, US.
Sarah L Cohen RassierDivision of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, MA, US. rassier.sarah@mayo.edu.
Brigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review cases of uterine rupture and identify risk factors associated with adverse outcomes.

methodsThis study is a retrospective cohort of complete uterine ruptures diagnosed in a large hospital system in Massachusetts between 2004 and 2018. Baseline demographics, labor characteristics and outcomes of uterine rupture were collected from medical records.

resultsA total of 173 cases of uterine rupture were identified. There were 30 (17.3%) women with an unscarred uterus, while 142 (82.1%) had a scarred uterus. Adverse outcomes (n = 89, 51.4% of cases) included 26 (15.0%) hysterectomies, 55 (31.8%) blood transfusions, 18 (10.4%) bladder/ureteral injuries, 5 (2.9%) reoperations, 25 (14.5%) Apgar scores lower than 5 at 5 min and 9 (5.2%) perinatal deaths. Uterine rupture of a scarred uterus was associated with decreased risk of hemorrhage (OR 0.40, 95% CI 0.17-0.93), blood transfusion (OR 0.27, 95% CI 0.11-0.69), hysterectomy (OR 0.23, 95% CI 0.08-0.69) and any adverse outcome (OR 0.34, 95% CI 0.13-0.91) compared with unscarred rupture. Uterine rupture during vaginal delivery was associated with increased risk of transfusion (OR 6.55, 95% CI 1.53-28.05) and hysterectomy (OR 8.95, 95% CI 2.12-37.72) compared with emergent C-section.

conclusionsAlthough rare, uterine rupture is associated with adverse outcomes in over half of cases. Unscarred rupture and vaginal delivery demonstrate increased risk of adverse outcomes, highlighting the need for early diagnosis and operative intervention.

Indexed as

Uterine RuptureCesarean SectionDelivery, ObstetricFemaleHumansPregnancyPregnancy OutcomeRetrospective StudiesRisk FactorsCesarean scarMyomectomyOutcomesUterine rupture

Identifiers

PMID36271922
OpenAlexW2974488209

What OpenQuestion holds

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Read underepoch 390

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.