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Henci GoerFind out what other moms-to-be are asking.  Join in the discussion with Henci Goer, an expert in obstetric research. If you would like to contact Henci outside of the Ask Henci forum, send an email to Goersitemail@aol.com.

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Reply To Topic Topic: Thinness of uterus
:
Posted By Henci Goer, BA on 30 Apr 2008 03:47 PM

I don't have anything recent on this issue, but here is the gist of the discussion taken from:

Lieberman E. Risk factors for uterine rupture during a trial of labor after cesarean. Clin Obstet Gynecol 2001;44(3):609-21.

This review is discussing a study (Rozenberg P, Goffinet F, PHillippe HG, et al. Ultrasonographic measurement of lower uterine segment to assess risk of defects of scarred uterus. Lancet 1996;347:281-4.) in which thickness of the uterine scar in late pregnancy was correlated with likelihood of scar rupture. The reviewer notes that using a cut-off of 2.5 mm or less would be a reasonable threshold in that only 8% of the study population had a scar thickness this thin and 10% of them experienced a scar rupture. However, the reviewer also notes that the overall scar rupture rate in the study population was 2.3%. That tells you that the results of this study cannot be generalized to a population that received proper care because any number of VBAC studies have reported scar rupture rates of 0.5% or less.

If you follow the link for Rozenberg to the PubMed site, you will be able to use the "related articles" function to see other, more recent research on this issue. 

-- Henci  

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