Uterusruptur

Die Uterusruptur ist ein geburtshilflicher Notfall, der ein sofortiges Handeln des betreuenden Teams notwendig macht, um möglichst schwerwiegende Schäden für Mutter und Kind abzuwenden. Die Symptome entwickeln sich in den meisten Fällen plötzlich und intrapartal und sollten Geburtshelfern bekannt sein.

Schlüsselwörter

Uterusruptur - peripartale Komplikation - Nische - gedeckte Ruptur - Nischenrepair

• Literatur

• 1 Al-Zirqi I, Stray-Pedersen B, Forsen L. et al. Uterine rupture: trends over 40 years. BJOG 2015; 123: 780-787
• 2 IQTIG – Institut für Qualitätssicherung und Transparenz im Gesundheitswesen. Bundesauswertung zum Erfassungsjahr 2020. Geburtshilfe, Qualitätsindikatoren und Kennzahlen. 2021 Zugriff am 26. August 2022 unter: https://iqtig.org/downloads/auswertung/2020/16n1gebh/QSKH_16n1-GEBH_2020_BUAW_V01_2021-08-10.pdf
• 3 Landon MB, Hauth JC, Leveno KJ. et al. Maternal und perinatal outcomes associated with a trial of labor after prior caesarean delivery. N Engl J Med 2004; 351: 2581-2589
• 4 Practice bulletin no. 184: Vaginal Birth After Cesarean Delivery. Obstet Gynecol [Anonym]. 2017; 130: e217-e233
• 5 Usta IM, Hamdi MA, Musa AA. et al. Pregnancy outcome in patients with previous uterine rupture. Acta Obstet Gynecol Scand 2007; 86: 172-176
• 6 Landon MB, Lynch CD. Optimal timing and mode of delivery after cesarean with previous classical incision or myomectomy: a review of the data. Semin Perinatol 2011; 35: 257-261
• 7 Rossi AC, Prefumo F. Pregnancy outcomes of induced labor in women with previous cesarean section: a systematic review and meta-analysis. Arch Gynecol Obstet 2015; 291: 273-280
• 8 Lin C, Raynor BD. Risk of uterine rupture in labor induction of patients with prior cesarean section: an inner city hospital experience. Am J Obstet Gynecol 2004; 190: 1476-1478
• 9 Aslan H, Unlu E, Agar M. et al. Uterine rupture associated with misoprostol labor induction in women with previous cesarean delivery. Eur J Obstet Gynecol Reprod Biol 2004; 113: 45-48
• 10 Lydon-Rochelle M, Holt VL, Easterling TR. et al. Risk of uterine rupture during labor among women with a prior cesarean delivery. N Engl J Med 2001; 345: 3-8
• 11 Ravasia DJ, Wood SL, Pollard JK. Uterine rupture during induced trial of labor among women with previous cesarean delivery. Am J Obstet Gynecol 2000; 183: 1176-1179
• 12 Bujold E, Blackwell SC, Gauthier RJ. Cervical ripening with transcervical foley catheter and the risk of uterine rupture. Obstet Gynecol 2004; 103: 18-23
• 13 Vachon-Marceau C, Demers S, Goyet M. et al. Labor dystocia and the risk of uterine rupture in women with prior cesarean. Am J Perinatol 2016; 33: 577 577-583
• 14 Cunningham S, Algeo CE, DeFranco EA. Influence of interpregnancy interval on uterine rupture. J Matern Fetal Neonatal Med 2021; 34: 2848-2853
• 15 Zwart JJ, Richters JM, Ory F. et al. Uterine rupture in the Netherlands: a nationwide population-based cohort study. BJOG 2009; 116: 1069-1078
• 16 Landon MB. Predicting uterine rupture in women undergoing trial of labor after prior cesarean delivery. Semin Perinatol 2010; 34: 267-271
• 17 Gibbins KJ, Weber T, Holmgren CM. et al. Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. Am J Obstet Gynecol 2015; 213: 382.e1-382.e6
• 18 Zhang N, Ward H. Safety and efficacy of external cephalic version after a previous caesarean delivery: a systematic review. Aust N Z J Obstet Gynaecol 2021; 61: 650-657
• 19 Weill Y, Pollack RN. The efficacy and safety of external cephalic version after a previous caesarean delivery. Aust N Z J Obstet Gynaecol 2017; 57: 323-326
• 20 Kok N, Wiersma IC, Opmeer BC. et al. Sonographic measurement of lower uterine segment thickness to predict uterine rupture during a trial of labor in women with previous Cesarean section: a meta-analysis. Ultrasound Obstet Gynecol 2013; 42: 132-139
• 21 Dosedla E, Calda P. Outcomes of laparoscopic treatment in women with cesarean scar syndrome. Med Sci Monit 2017; 23: 4061-4066
• 22 Tanimura S, Funamoto H, Hosono T. et al. New diagnostic criteria and operative strategy for caesarean scar syndrome: endoscopic repair for secondary infertility caused by caesarean scar defect. J Obstet Gynaecol Res 2015; 41: 1363-1369
• 23 Jordans IPM, de Leeuw RA, Stegwee SI. et al. Sonographic examination of uterine niche in non-pregnant women: a modified Delphi procedure. Ultrasound Obstet Gynecol 2019; 53: 107-115
• 24 Rozenberg P, Sénat MV, Deruelle P. Groupe de Recherche en Obstétrique et Gynécologie. et al. Evaluation of the usefulness of ultrasound measurement of the lower uterine segment before delivery of women with a prior cesarean delivery: a randomized trial. Am J Obstet Gynecol 2022; 226: 253.e1-253.e9
• 25 Naji O, Wynants L, Smith A. et al. Predicting successful vaginal birth after Cesarean section using a model based on Cesarean scar features examined by transvaginal sonography. Ultrasound Obstet Gynecol 2013; 4: 672-678
• 26 Roberge S, Demers S, Girard M. et al. Impact of uterine closure on residual myometrial thickness after cesarean: a randomized controlled trial. Am J Obstet Gynecol 2016; 214: 507.e1-507.e6
• 27 Hanacek J, Vojtech J, Urbankova I. et al. Ultrasound cesarean scar assessment one year postpartum in relation to one- or two-layer uterine suture closure. Acta Obstet Gynecol Scand 2020; 99: 69-78
• 28 Bujold E, Jastrow N, Simoneau J. et al. Prediction of complete uterine rupture by sonographic evaluation of the lower uterine segment. Am J Obstet Gynecol 2009; 201: 320.e1-320.e6
• 29 Odejinmi F, Strong S, Sideris M. et al. Caesarean section in women following an abdominal myomectomy: a choice or a need?. Facts Views Vis Obgyn 2020; 12: 57-60
• 30 AWMF Online. Sectio caesarea. 2020 Zugriff am 26. August 2022 unter: https://www.awmf.org/leitlinien/detail/ll/015–084.html
• 31 Cahill AG, Odibo AO, Allsworth JE. et al. Frequent epidural dosing as a marker for impending uterine rupture in patients who attempt vaginal birth after cesarean delivery. Am J Obstet Gynecol 2010; 202: 355.e1-355.e5
• 32 Markou GA, Muray JM, Poncelet C. Risk factors and symptoms associated with maternal and neonatal complications in women with uterine rupture. A 16 years multicentric experience. Eur J Obset Gynecol Reprod Biol 2017; 217: 126-130
• 33 Al-Zirqi I, Daltveit AK, Vangen S. Maternal outcome after complete uterine rupture. Acta Obstet Gynecol Scand 2019; 98: 1024-1031
• 34 Dudenhausen JW. Praktische Geburtshilfe. 21. Berlin: de Gruyter; 2011
• 35 Shu-Han Y, Yao-Lung C, Chih-Feng Y. Rupture of the scarred and unscarred gravid uterus: outcomes and risk factors analysis. Taiwan J Obstet Gynecol 2018; 57: 248-254
• 36 Fox NS. Pregnancy outcomes in patients with prior uterine rupture or dehiscence: a 5-year update. Obstet Gynecol 2020; 135: 211-212
• 37 Bujold E, Gauthier RJ. Neonatal morbidity associated with uterine rupture: what are the risk factors?. Am J Obstet Gynecol 2002; 186: 311-314
• 38 Ofir K, Sheiner E, Levy A. Uterine rupture: risk factors and pregnancy outcome. Am J Obstet Gynecol 2003; 189: 1042-1046
• 39 Ende HB, Lozada MJ, Chestnut DH. et al. Risk factors for atonic postpartum hemorrhage: a systematic review and meta-analysis. Obstet Gynecol 2021; 137: 305-323
• 40 Charach R, Sheiner E. Risk factors for peripartum hysterectomy following uterine rupture. J Matern Fetal Neonatal Med 2013; 26: 1196-1200
• 41 Tahseen S, Griffiths M. Vaginal birth after two caesarean sections (VBAC-2) – a systematic review with meta-analysis of success rate and adverse outcomes of VBAC-1 versus VBAC-1 and repeat (third) caesarean sections. BJOG 2010; 117: 5-19
• 42 Bujold E, Gauthier RJ. Risk of uterine rupture associated with an interdelivery interval between 18 and 24 months. Obstet Gynecol 2010; 115: 1003-1006
• 43 Fox NS, Gerber RS, Mourad M. et al. Pregnancy outcomes in patients with prior uterine rupture or dehiscence. Obstet Gynecol 2014; 123: 785-789
• 44 Larrea NA, Metz TD. Pregnancy after uterine rupture. Obstet Gynecol 2018; 131: 135-137
• 45 Al Qahtani NH, Al Hajeri F. Pregnancy outcome and fertility after complete uterine rupture: a report of 20 pregnancies and a review of literature. Arch Gynecol Obstet 2011; 284: 1123-1126
• 46 ACOG practice bulletin no. 205: vaginal birth after cesarean delivery. Obstet Gynecol [Anonym]. 2019; 133: e110-e127
• 47 Maymon R, Mor M, Betser M. et al. Second-trimester and early third-trimester spontaneous uterine rupture: a 32-year single-center survey. Birth 2021; 48: 61-65
• 48 Sharon N, Maymon R, Pekar-Zlotin M. et al. Midgestational pre-labor spontaneous uterine rupture: a systematic review. J Matern Fetal Neonatal Med 2021; 10: 1-6
• 49 Jastrow N, Demers S, Chaillet N. et al. Lower uterine segment thickness to prevent uterine rupture and adverse perinatal outcomes: a multicenter prospective study. Am J Obstet Gynecol 2016; 15: 604.e1-604.e6
• 50 Ridgeway JJ, Weyrich DL, Benedetti TJ. Fetal heart rate changes associated with uterine rupture. Obstet Gynecol 2004; 103: 506-512
• 51 Xiao J, Zhang C, Zhang Y. et al. Ultrasonic manifestations and clinical analysis of 25 uterine rupture cases. J Obstet Gynaecol Res 2021; 47: 1397-1408