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Subject:	uterine rupture rates on uncut uterus with pit vs rupture rate for prior c/s
Body:	<div class="NTForums_Quote">Posted By Henci Goer on 07/10/2008 11:51 PM<br><P>I suppose "as rare as hen's teeth" is too vague for your purposes. :-) A big Swiss database study reported a rate of 1 in 10,000 in women with no previous cesarean.</P> <P>Rageth JC, Juzi C, Grossenbacher H. Delivery after previous cesarean: a risk evaluation. Swiss Working Group of Obstetric and Gynecologic Institutions. Obstet Gynecol 1999;93(3):332-7.</P> <P>Since the study was done in Europe and published in 1999, misoprostol (Cytotec) would not have been a factor, so doubtless in countries like the U.S. where induction with Cytotec is common, rates would almost certainly be higher. </P> <P>While I'm at it, let me add that I'm reviewing papers for the VBAC chapter for the new edition of <EM>Obstetric Myths Vs. Research Realities</EM>. Some of the papers are about factors associated with uterine rupture, not just the effect of prior cesarean surgery. Having a prior D&C has popped up more than once as an associated factor. </P> <P>-- Henci</P></div><br><br>
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