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Subject:	Intrapartum predictors of uterine rupture
Body:	<div class="NTForums_Quote">Posted By n/a on 05/24/2007 4:33 PM<br><P>Henci,</P> <P>A new study just came out on predicting uterine rupture.  Here's the abstract: </P> <P><SPAN title="American journal of perinatology"><a target=_blank href="AL_get(this, 'jour', 'Am J Perinatol.');"><FONT color=#0000ff>Am J Perinatol.</FONT></A></SPAN><FONT color=#0000ff> 2007 May 21</FONT></P> <P><FONT color=#0000ff>Intrapartum Predictors of Uterine Rupture. </FONT><A title="Click to search for citations by this author." href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Craver+Pryor+E%22%5BAuthor%5D"><B><FONT color=#0000ff size=2>Craver Pryor E</FONT></B></A><FONT color=#0000ff size=2>, </FONT><A title="Click to search for citations by this author." href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Mertz+HL%22%5BAuthor%5D"><B><FONT color=#0000ff size=2>Mertz HL</FONT></B></A><FONT color=#0000ff size=2>, </FONT><A title="Click to search for citations by this author." href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Beaver+BW%22%5BAuthor%5D"><B><FONT color=#0000ff size=2>Beaver BW</FONT></B></A><FONT color=#0000ff size=2>, </FONT><A title="Click to search for citations by this author." href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Koontz+G%22%5BAuthor%5D"><B><FONT color=#0000ff size=2>Koontz G</FONT></B></A><FONT color=#0000ff size=2>, </FONT><A title="Click to search for citations by this author." href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Martinez%2DBorges+A%22%5BAuthor%5D"><B><FONT color=#0000ff size=2>Martinez-Borges A</FONT></B></A><FONT color=#0000ff size=2>, </FONT><A title="Click to search for citations by this author." href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Smith+JG%22%5BAuthor%5D"><B><FONT color=#0000ff size=2>Smith JG</FONT></B></A><FONT color=#0000ff size=2>, </FONT><A title="Click to search for citations by this author." href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_AbstractPlus&term=%22Merrill+D%22%5BAuthor%5D"><B><FONT color=#0000ff size=2>Merrill D</FONT></B></A><FONT color=#0000ff size=2>. </FONT></P> <DD class=abstract id=abstract17516310> <P class=affiliation><FONT color=#0000ff>Department of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</FONT></P> <P class=abstract><FONT color=#0000ff>This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine rupture, mild and severe variable decelerations, persistent abdominal pain, and hyperstimulation were more common in cases of uterine rupture as compared to controls and had statistically significant positive likelihood ratios (LR). Mild and severe variable fetal heart rate decelerations, especially in the presence of persistent abdominal pain, may predict uterine rupture in patients attempting VBAC.</FONT></P></DD> <P class=abstract>Could you discuss this study/break it down for us VBAC hopefuls? </P> <P class=abstract>Thanks!</P> <P class=abstract>LAS</P></div><br><br>
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