Table 3 Classification of causes of complete uterine rupture in 33 cases
From: Clinical analysis of complete uterine rupture during pregnancy
Categorization | Number of cases (rate) | Categorization | Number of cases (rate) |
|---|---|---|---|
Age (years) | BMI (kg/m2) | ||
< 35 | 24 (72.73%) | Normal (18.5 ≤ BMI ≤ 23.9) | 9 (27.27%) |
35 to < 40 | 7 (21.21%) | Overweight (BMI ≥ 24) | 14 (42.42%) |
≥ 40 | 2 (6.06%) | Obese (BMI ≥ 27) | 10 (30.3%) |
Number of pregnancies | Number of fetuses | ||
< 3 | 3 (9.09%) | Singleton | 32 (96.97%) |
≥ 3 | 30 (90.91%) | Twins | 1 (3.03%) |
Number of deliveries | Weeks of pregnancy at the time of uterine rupture (weeks) | ||
≤ 2 | 26 (78.79%) | 0 ~ 11+6 | 0 (0%) |
> 2 | 7 (21.21%) | 12 ~ 27+6 /post-partum | 7 (21.21%)/2 9.09%) |
Number of cesarean sections | |||
0 | 8 (24.24%) | 28 ~ 36+6 /post-partum | 15 (45.45%)/3 (9.09%) |
1 | 18 (54.55%) | ≥ 37 /post-partum | 11 (33.33%)/3 (9.09%) |
2 | 5 (15.15%) | Rupture position | |
3 | 2 (6.06%) | Back wall | 6 (18.18%) |
Interval from previous CS (years) | |||
< 1.5 | 5 (15.15%) | Front wall | 15 (45.45%) |
1.5 to < 2 | 0 (0%) | Original CS incision | |
2 to ≤ 3 | 5 (15.15%) | Non-scarred | 5 (15.15%) |
> 3 and ≤ 5 | 9 (27.27%) | Uterine fundus | 6 (18.18%) |
> 5 | 6 (18.18%) | Many places | 1 (3.03%) |
Not a history of CS | Current pregnancy | ||
Open myomectomy | 1 (3.03%) | Placenta previa | 8 (24.24%) |
Laparoscopic tubectomy | 1 (3.03%) | Placental/penetrating implantation | 8 (24.24%)/4 (12.12%) |
Laparoscopic tubal opening and embryo extraction | 1 (3.03%) | DM | 2 (6.06%) |
Laparoscopic cervical cerclage | 1 (3.03%) | GDM | 3 (9.09%) |
Wedge excision of the uterine horn | 1 (3.03%) | Placental adhesion | 1 (3.03%) |
Laparoscopic surgery for endometriosis | 1 (3.03%) | Adenomyosis | 1 (3.03%) |
Other previous medical history | Hysteromyoma | 1 (3.03%) | |
Double uterus (single cervix, double uterine cavity) | 2 (6.06%) | IVF-ET | 1 (3.03%) |
Postpartum hemorrhage and blood transfusion | 4 (12.12%) | Use of LMSH | 2 (6.06%) |
Severe adhesion | 3 (9.09%) | Hyperemesis | 4 (12.12%) |
Placental abnormalities | 2 (6.06%) | Twin pregnancy | 1 (3.03%) |
Caesarean scar pregnancy | 1 (3.03%) | Coitus before childbirth | 1 (3.03%) |
Induction of labor in mid/late pregnancy after CS | 2 (6.06%) | Heart disease | 1 (3.03%) |
VBAC | 2 (6.06%) | Caesarean scar pregnancy | 1 (3.03%) |
Hyperemesis | 3 (9.09%) | Traffic accidents | 1 (3.03%) |
Twin pregnancy | 1 (3.03%) | Mental retardation | 1 (3.03%) |
GDM | 1 (3.03%) | Use of oxytocin | 1 (3.03%) |
History of intrauterine manipulation only | 6 (18.18%) | Use of induced abortion drugs | 3 (9.09%) |
HIV Transferred to our hospital | 1 (3.03%) 13 (39.39%) | ||