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Uterine Rupture International Data Acquisition

Conditions
Uterine Rupture Gravid
Registration Number
NCT03576950
Lead Sponsor
Università degli Studi dell'Insubria
Brief Summary

Uterine rupture represents an uncommon event: it is is a life-threatening obstetric complication with high maternal and perinatal morbidity and mortality. Indeed, uterine rupture may cause catastrophic maternal and fetal complications (uterine hemorrhage, hysterectomy with consequent fertility loss, maternal and fetal death or cerebral palsy) which are hardly acceptable within the context of a natural event such as birth.

Uterine rupture can occur during pregnancy, early in labor or following a prolonged labor, most frequently near or at term and, rarely, during early to mid-pregnancy. Its prevalence ranges between 0.006% for women without previous cesarean section (CS) in the western countries, to 25% for women with obstructed labor in African countries.

Pregnancy after myomectomy or CS, vaginal delivery after cesarean sections (VBACs) and vaginal delivery after myomectomy are potentially "at risk" of uterine rupture.

Despite uterine rupture is widely considered a life-threatening condition, so far most of published data refer to case reports or very small case series. In this scenario, the "Uterine Rupture International Data Acquisition" study group would like to collect a large number of events, in order to identify the potential risk factors among different populations through a multivariate analysis.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
100
Inclusion Criteria
  • Women with uterine rupture occurred during pregnancy.
Exclusion Criteria
  • None.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Uterine ruptureA retrospective analysis of 10 years.

Women with uterine rupture occurred during pregnancy.

Secondary Outcome Measures
NameTimeMethod
Gestational age at uterine ruptureA retrospective analysis of 10 years.

Gestational age, calculated as weeks and days, in which uterine rupture occurred.

ParityA retrospective analysis of 10 years.

The number of previous delivery.

Body Mass IndexA retrospective analysis of 10 years.

The Body Mass Index of each patient in which uterine rupture occurred.

Presence of myomasA retrospective analysis of 10 years.

The occurrence of myomas in each patient in which uterine rupture occurred.

HysterectomyA retrospective analysis of 10 years.

The number of cases in which it was necessary to perform hysterectomy after uterine rupture.

Hospital stayA retrospective analysis of 10 years.

The hospital stay from the admission to the discharge, expressed in days.

Neonatal complicationsA retrospective analysis of 10 years.

The occurrence of neonatal complications, included neonatal deaths.

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