Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO Multicountry Survey on Maternal and Newborn Health

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dc.citation.volume7
dc.contributor.authorMotomura, Kenichiro
dc.contributor.authorGanchimeg, Togoobaatar
dc.contributor.authorNagata, Chie
dc.contributor.authorOta, Erika
dc.contributor.authorVogel, Joshua P.
dc.contributor.authorBetran, Ana Pilar
dc.contributor.authorTorloni, Maria Regina [UNIFESP]
dc.contributor.authorJayaratne, Kapila
dc.contributor.authorJwa, Seung Chik
dc.contributor.authorMittal, Suneeta
dc.contributor.authorRecidoro, Zenaida Dy
dc.contributor.authorMatsumoto, Kenji
dc.contributor.authorFujieda, Mikiya
dc.contributor.authorNafiou, Idi
dc.contributor.authorYunis, Khalid
dc.contributor.authorQureshi, Zahida
dc.contributor.authorSouza, Joao Paulo
dc.contributor.authorMori, Rintaro
dc.coverageLondon
dc.date.accessioned2020-07-17T14:02:39Z
dc.date.available2020-07-17T14:02:39Z
dc.date.issued2017
dc.description.abstractCaesarean section (CS) is increasing globally, and women with prior CS are at higher risk of uterine rupture in subsequent pregnancies. However, little is known about the incidence, risk factors, and outcomes of uterine rupture in women with prior CS, especially in developing countries. To investigate this, we conducted a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health, which included data on delivery from 359 facilities in 29 countries. The incidence of uterine rupture among women with at least one prior CS was 0.5% (170/37,366), ranging from 0.2% in high-Human Development Index (HDI) countries to 1.0% in low-HDI countries. Factors significantly associated with uterine rupture included giving birth in medium-or low-HDI countries (adjusted odds ratio [AOR] 2.0 and 3.88, respectively), lower maternal educational level (<= 6 years) (AOR 1.71), spontaneous onset of labour (AOR 1.62), and gestational age at birth < 37 weeks (AOR 3.52). Women with uterine rupture had significantly higher risk of maternal death (AOR 4.45) and perinatal death (AOR 33.34). Women with prior CS, especially in resource-limited settings, are facing higher risk of uterine rupture and subsequent adverse outcomes. Further studies are needed for prevention/management strategies in these settings.en
dc.description.affiliationNatl Res Inst Child Hlth & Dev, Dept Allergy & Clin Immunol, Tokyo, Japan
dc.description.affiliationUniv Tsukuba, Dept Global Hlth Nursing, Fac Med, Tsukuba, Ibaraki, Japan
dc.description.affiliationNatl Ctr Child Hlth & Dev, Dept Educ Clin Res, Tokyo, Japan
dc.description.affiliationSt Lukes Int Univ, Grad Sch Nursing Sci, Global Hlth Nursing, Tokyo, Japan
dc.description.affiliationWHO, UNDP UNFPA UNICEF WHO World Bank Special Programm, Dept Reprod Hlth & Res, Geneva, Switzerland
dc.description.affiliationUniv Fed Sao Paulo, Evidence Based Healthcare Postgrad Programme, Dept Internal Med, Sao Paulo, Brazil
dc.description.affiliationMinist Hlth, Family Hlth Bur, Maternal & Child Morbid & Mortal Unit, Colombo, Sri Lanka
dc.description.affiliationSora No Mori Clin, Yaese, Okinawa, Japan
dc.description.affiliationFortis Mem Res Inst, Obstet & Gynecol, Gurgaon, India
dc.description.affiliationNatl Ctr Dis Prevent & Control, Dept Hlth, Manila, Philippines
dc.description.affiliationKochi Univ, Kochi Med Sch, Dept Pediat, Kochi, Japan
dc.description.affiliationUniv Abdou Moumouni Niamey, Niamey, Niger
dc.description.affiliationAmer Univ Beirut, Beirut, Lebanon
dc.description.affiliationUniv Nairobi, Obstet & Gynaecol, Sch Med, Nairobi, Kenya
dc.description.affiliationUniv Sao Paulo, Ribeirao Preto Med Sch, Dept Social Med, Sao Paulo, Brazil
dc.description.affiliationNatl Ctr Child Hlth & Dev, Dept Hlth Policy, Tokyo, Japan
dc.description.affiliationUnifespUniv Fed Sao Paulo, Evidence Based Healthcare Postgrad Programme, Dept Internal Med, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP)
dc.description.sponsorshipWorld Health Organization (WHO)
dc.description.sponsorshipUnited States Agency for International Development (USAID)
dc.description.sponsorshipMinistry of Health, Labour and Welfare of Japan
dc.description.sponsorshipGynuity Health Projects
dc.description.sponsorshipJapan Agency for Medical Research and Development, AMED
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1038/srep44093
dc.identifier.citationScientific Reports. London, v. 7, p. -, 2017.
dc.identifier.doi10.1038/srep44093
dc.identifier.fileWOS000395889400001.pdf
dc.identifier.issn2045-2322
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54932
dc.identifier.wosWOS:000395889400001
dc.language.isoeng
dc.publisherNature Publishing Group
dc.relation.ispartofScientific Reports
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleIncidence and outcomes of uterine rupture among women with prior caesarean section: WHO Multicountry Survey on Maternal and Newborn Healthen
dc.typeinfo:eu-repo/semantics/article
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