Labor Dystocia and the Risk of Uterine Rupture in Women with Prior Cesarean

Chantale Vachon-Marceau; Suzanne Demers; Martine Goyet; Robert Gauthier; Stéphanie Roberge; Nils Chaillet; Jasmin Laroche; Emmanuel Bujold

doi:10.1055/s-0035-1570382

American Journal of Perinatology, Inhaltsverzeichnis

Am J Perinatol 2016; 33(06): 577-583
DOI: 10.1055/s-0035-1570382

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Labor Dystocia and the Risk of Uterine Rupture in Women with Prior Cesarean

Autor*innen

Chantale Vachon-Marceau

¹Department of Obstetrics and Gynecology, Faculty of Medicine, Université Laval, Québec, Canada
Suzanne Demers

¹Department of Obstetrics and Gynecology, Faculty of Medicine, Université Laval, Québec, Canada

²Centre de Recherche, Centre Hospitalier Universitaire de Québec, Québec, Canada
Martine Goyet

³Department of Obstetrics and Gynecology, Hôpital de LaSalle, Montréal, Québec, Canada
Robert Gauthier

⁴Department of Obstetrics and Gynecology, Faculty of Medicine, Hôpital Sainte-Justine, Université de Montréal, Montréal, Québec, Canada
Stéphanie Roberge

²Centre de Recherche, Centre Hospitalier Universitaire de Québec, Québec, Canada
Nils Chaillet

⁵Department of Obstetrics and Gynecology, Faculty of Medicine, Université de Sherbrooke, Sherbrooke, Québec, Canada
Jasmin Laroche

²Centre de Recherche, Centre Hospitalier Universitaire de Québec, Québec, Canada
Emmanuel Bujold

¹Department of Obstetrics and Gynecology, Faculty of Medicine, Université Laval, Québec, Canada

²Centre de Recherche, Centre Hospitalier Universitaire de Québec, Québec, Canada

Abstract

Objective The objective of this study was to evaluate the association between labor dystocia and uterine rupture.

Methods We performed a secondary analysis of a multicenter case–control study that included women with single, prior, low-transverse cesarean section who experienced complete uterine rupture during a trial of labor (TOL). For each case, three women who underwent a TOL without uterine rupture were selected as controls. Data were collected on cervical dilatations from admission to delivery. We evaluated the relationship between uterine rupture and labor dystocia according to several criteria, including the World Health Organization's (WHO's) partogram.

Results Data were available for 90 cases and 260 controls. Compared with the controls, uterine rupture was associated with less cervical dilatation on admission, slower cervical dilatation in the first stage of labor and longer second stage of labor (all with p < 0.05). Performing cesarean when the labor curve crossed the ACTION line of WHO's partogram or when the second stage was greater than 2 hours could have (1) prevented up to 56% of uterine rupture and (2) reduced the duration of labor in 57% of women with failed TOL.

Conclusion Labor dystocia is a significant risk factor for uterine rupture. Labor progression should be assessed regularly in women with prior cesarean.

Keywords

pregnancy - cesarean - vaginal birth after cesarean - uterine rupture - labor dystocia

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Referenzen

References
1 Signore C. VBAC: what does the evidence show?. Clin Obstet Gynecol 2012; 55 (4) 961-968
2 Landon MB, Hauth JC, Leveno KJ , et al; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. N Engl J Med 2004; 351 (25) 2581-2589
3 Guise JM, McDonagh MS, Osterweil P, Nygren P, Chan BK, Helfand M. Systematic review of the incidence and consequences of uterine rupture in women with previous caesarean section. BMJ 2004; 329 (7456) 19-25
4 Gregory KD, Fridman M, Korst L. Trends and patterns of vaginal birth after cesarean availability in the United States. Semin Perinatol 2010; 34 (4) 237-243
5 Liu S, Rusen ID, Joseph KS , et al; Maternal Health Study Group of the Canadian Perinatal Surveillance System. Recent trends in caesarean delivery rates and indications for caesarean delivery in Canada. J Obstet Gynaecol Can 2004; 26 (8) 735-742
6 McMahon MJ, Luther ER, Bowes Jr WA, Olshan AF. Comparison of a trial of labor with an elective second cesarean section. N Engl J Med 1996; 335 (10) 689-695
7 Lydon-Rochelle M, Holt VL, Easterling TR, Martin DP. Risk of uterine rupture during labor among women with a prior cesarean delivery. N Engl J Med 2001; 345 (1) 3-8
8 Bujold E, Gauthier RJ. Neonatal morbidity associated with uterine rupture: what are the risk factors?. Am J Obstet Gynecol 2002; 186 (2) 311-314
9 Macones GA, Cahill AG, Stamilio DM, Odibo A, Peipert J, Stevens EJ. Can uterine rupture in patients attempting vaginal birth after cesarean delivery be predicted?. Am J Obstet Gynecol 2006; 195 (4) 1148-1152
10 Grobman WA, Lai Y, Landon MB , et al; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Prediction of uterine rupture associated with attempted vaginal birth after cesarean delivery. Am J Obstet Gynecol 2008; 199 (1) 30.e1-30.e5
11 Bujold E, Bujold C, Hamilton EF, Harel F, Gauthier RJ. The impact of a single-layer or double-layer closure on uterine rupture. Am J Obstet Gynecol 2002; 186 (6) 1326-1330
12 Bujold E, Gauthier RJ. Risk of uterine rupture associated with an interdelivery interval between 18 and 24 months. Obstet Gynecol 2010; 115 (5) 1003-1006
13 Bujold E, Goyet M, Marcoux S , et al. The role of uterine closure in the risk of uterine rupture. Obstet Gynecol 2010; 116 (1) 43-50
14 Cahill AG, Stamilio DM, Odibo AO, Peipert JF, Stevens EJ, Macones GA. Does a maximum dose of oxytocin affect risk for uterine rupture in candidates for vaginal birth after cesarean delivery?. Am J Obstet Gynecol 2007; 197 (5) 495.e1-495.e5
15 Cahill AG, Waterman BM, Stamilio DM , et al. Higher maximum doses of oxytocin are associated with an unacceptably high risk for uterine rupture in patients attempting vaginal birth after cesarean delivery. Am J Obstet Gynecol 2008; 199 (1) 32.e1-32.e5
16 Khan KS, Rizvi A. The partograph in the management of labor following cesarean section. Int J Gynaecol Obstet 1995; 50 (2) 151-157
17 Khan KS, Rizvi A, Rizvi JH. Risk of uterine rupture after the partographic ‘alert’ line is crossed—an additional dimension in the quest towards safe motherhood in labour following caesarean section. J Pak Med Assoc 1996; 46 (6) 120-122
18 Harper LM, Cahill AG, Roehl KA, Odibo AO, Stamilio DM, Macones GA. The pattern of labor preceding uterine rupture. Am J Obstet Gynecol 2012; 207 (3) 210.e1-210.e6
19 Hamilton EF, Bujold E, McNamara H, Gauthier R, Platt RW. Dystocia among women with symptomatic uterine rupture. Am J Obstet Gynecol 2001; 184 (4) 620-624
20 Leung AS, Farmer RM, Leung EK, Medearis AL, Paul RH. Risk factors associated with uterine rupture during trial of labor after cesarean delivery: a case-control study. Am J Obstet Gynecol 1993; 168 (5) 1358-1363
21 World Health Organization Maternal Health and Safe Motherhood Programme. World Health Organization partograph in management of labour. Lancet 1994; 343 (8910) 1399-1404
22 World Health Organization. Preventing prolonged labour: a practical guide. The Partograph Part 1: Principles and Strategy WHO/17HE/MSM/93.8. Geneva: WHO; 1993
23 Lavender T, Hart A, Smyth RM. Effect of partogram use on outcomes for women in spontaneous labour at term. Cochrane Database Syst Rev 2013; 7: CD005461
24 Philpott RH, Castle WM. Cervicographs in the management of labour in primigravidae. II. The action line and treatment of abnormal labour. J Obstet Gynaecol Br Commonw 1972; 79 (7) 599-602
25 Jastrow N, Demers S, Gauthier RJ, Chaillet N, Brassard N, Bujold E. Adverse obstetric outcomes in women with previous cesarean for dystocia in second stage of labor. Am J Perinatol 2013; 30 (3) 173-178
26 Rozenberg P, Goffinet F, Phillippe HJ, Nisand I. Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus. Lancet 1996; 347 (8997) 281-284
27 Bujold E, Jastrow N, Simoneau J, Brunet S, Gauthier RJ. Prediction of complete uterine rupture by sonographic evaluation of the lower uterine segment. Am J Obstet Gynecol 2009; 201 (3) 320.e1-320.e6
28 Hamilton EF, Warrick PA, Collins K, Smith S, Garite TJ. Assessing First Stage Labor Progression and Its Relationship to Complications. Am J Obstet Gynecol 2015;