Incidence of Recurrent Uterine Rupture Article Swipe
Shunya Sugai
,
Kaoru Yamawaki
,
Kazufumi Haino
,
Kosuke Yoshihara
,
Koji Nishijima
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1097/aog.0000000000005418
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1097/aog.0000000000005418
OBJECTIVE: We aimed to quantify the incidence of recurrent uterine rupture in pregnant women. DATA SOURCES: A literature search of PubMed, Web of Science, Cochrane Central, and ClinicalTrials.gov for observational studies was performed from 2000 to 2023. METHODS OF STUDY SELECTION: Of the 7,440 articles screened, 13 studies were included in the final review. We included studies of previous uterine ruptures that were complete uterine ruptures , defined as destruction of all uterine layers, including the serosa. The primary outcome was the pooled incidence of recurrent uterine rupture. Between-study heterogeneity was assessed with the I 2 value. Subgroup analyses were conducted in terms of the country development status, year of publication, and study size (single center vs national study). The secondary outcomes comprised the following: 1) mean gestational age at which recurrent rupture occurred, 2) mean gestational age at which delivery occurred without recurrent rupture, and 3) perinatal complications (blood loss, transfusion, maternal mortality, and neonatal mortality). TABULATION, INTEGRATION, AND RESULTS: A random-effects model was used to pool the incidence or mean value and the corresponding 95% CI with R software. The pooled incidence of recurrent uterine rupture was 10% (95% CI 6–17%). Developed countries had a significantly lower uterine rupture recurrence rate than less developed countries (6% vs 15%, P =.04). Year of publication and study size were not significantly associated with recurrent uterine rupture. The mean number of gestational weeks at the time of recurrent uterine rupture was 32.49 (95% CI 29.90–35.08). The mean number of gestational weeks at the time of delivery without recurrent uterine rupture was 35.77 (95% CI 34.95–36.60). The maternal mortality rate was 5% (95% CI 2–11%), and the neonatal mortality rate was 5% (95% CI 3–10%). Morbidity from hemorrhage, such as bleeding and transfusion, was not reported in any study and could not be evaluated. CONCLUSION: This systematic review estimated a 10% incidence of recurrent uterine rupture. This finding will enable appropriate risk counseling in patients with prior uterine rupture. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42023395010.
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Metadata
- Type
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- Language
- en
- Landing Page
- https://doi.org/10.1097/aog.0000000000005418
- OA Status
- hybrid
- Cited By
- 9
- References
- 42
- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4387966710Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/aog.0000000000005418Digital Object Identifier
- Title
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Incidence of Recurrent Uterine RuptureWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-10-26Full publication date if available
- Authors
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Shunya Sugai, Kaoru Yamawaki, Kazufumi Haino, Kosuke Yoshihara, Koji NishijimaList of authors in order
- Landing page
-
https://doi.org/10.1097/aog.0000000000005418Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/aog.0000000000005418Direct OA link when available
- Concepts
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Medicine, Incidence (geometry), Uterine rupture, Obstetrics, Gestational age, Pregnancy, Observational study, Gestation, Gynecology, Internal medicine, Uterus, Optics, Biology, Genetics, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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9Total citation count in OpenAlex
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2025: 6, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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42Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.rupture | 10, 132, 187, 200, 238, 258 |
| abstract_inverted_index.serosa. | 76 |
| abstract_inverted_index.status, | 107 |
| abstract_inverted_index.studies | 30, 47, 56 |
| abstract_inverted_index.study). | 118 |
| abstract_inverted_index.uterine | 9, 59, 64, 72, 86, 186, 199, 224, 237, 257, 312, 325 |
| abstract_inverted_index.without | 142, 255 |
| abstract_inverted_index.Central, | 25 |
| abstract_inverted_index.Cochrane | 24 |
| abstract_inverted_index.RESULTS: | 160 |
| abstract_inverted_index.SOURCES: | 15 |
| abstract_inverted_index.Science, | 23 |
| abstract_inverted_index.Subgroup | 97 |
| abstract_inverted_index.analyses | 98 |
| abstract_inverted_index.articles | 44 |
| abstract_inverted_index.assessed | 91 |
| abstract_inverted_index.bleeding | 288 |
| abstract_inverted_index.complete | 63 |
| abstract_inverted_index.delivery | 140, 254 |
| abstract_inverted_index.included | 49, 55 |
| abstract_inverted_index.maternal | 152, 265 |
| abstract_inverted_index.national | 117 |
| abstract_inverted_index.neonatal | 155, 275 |
| abstract_inverted_index.occurred | 141 |
| abstract_inverted_index.outcomes | 121 |
| abstract_inverted_index.patients | 322 |
| abstract_inverted_index.pregnant | 12 |
| abstract_inverted_index.previous | 58 |
| abstract_inverted_index.quantify | 4 |
| abstract_inverted_index.reported | 293 |
| abstract_inverted_index.rupture, | 144 |
| abstract_inverted_index.rupture. | 87, 225, 313, 326 |
| abstract_inverted_index.ruptures | 60, 65 |
| abstract_inverted_index.2–11%), | 272 |
| abstract_inverted_index.3–10%). | 282 |
| abstract_inverted_index.6–17%). | 192 |
| abstract_inverted_index.Developed | 193 |
| abstract_inverted_index.Morbidity | 283 |
| abstract_inverted_index.PROSPERO, | 330 |
| abstract_inverted_index.comprised | 122 |
| abstract_inverted_index.conducted | 100 |
| abstract_inverted_index.countries | 194, 206 |
| abstract_inverted_index.developed | 205 |
| abstract_inverted_index.estimated | 306 |
| abstract_inverted_index.incidence | 6, 83, 169, 183, 309 |
| abstract_inverted_index.including | 74 |
| abstract_inverted_index.mortality | 266, 276 |
| abstract_inverted_index.occurred, | 133 |
| abstract_inverted_index.performed | 32 |
| abstract_inverted_index.perinatal | 147 |
| abstract_inverted_index.recurrent | 8, 85, 131, 143, 185, 223, 236, 256, 311 |
| abstract_inverted_index.screened, | 45 |
| abstract_inverted_index.secondary | 120 |
| abstract_inverted_index.software. | 180 |
| abstract_inverted_index.OBJECTIVE: | 0 |
| abstract_inverted_index.SELECTION: | 40 |
| abstract_inverted_index.SYSTEMATIC | 327 |
| abstract_inverted_index.associated | 221 |
| abstract_inverted_index.counseling | 320 |
| abstract_inverted_index.evaluated. | 301 |
| abstract_inverted_index.following: | 124 |
| abstract_inverted_index.literature | 17 |
| abstract_inverted_index.mortality, | 153 |
| abstract_inverted_index.recurrence | 201 |
| abstract_inverted_index.systematic | 304 |
| abstract_inverted_index.CONCLUSION: | 302 |
| abstract_inverted_index.TABULATION, | 157 |
| abstract_inverted_index.appropriate | 318 |
| abstract_inverted_index.destruction | 69 |
| abstract_inverted_index.development | 106 |
| abstract_inverted_index.gestational | 127, 136, 230, 248 |
| abstract_inverted_index.hemorrhage, | 285 |
| abstract_inverted_index.mortality). | 156 |
| abstract_inverted_index.publication | 214 |
| abstract_inverted_index.INTEGRATION, | 158 |
| abstract_inverted_index.publication, | 110 |
| abstract_inverted_index.transfusion, | 151, 290 |
| abstract_inverted_index.Between-study | 88 |
| abstract_inverted_index.REGISTRATION: | 329 |
| abstract_inverted_index.complications | 148 |
| abstract_inverted_index.corresponding | 175 |
| abstract_inverted_index.heterogeneity | 89 |
| abstract_inverted_index.observational | 29 |
| abstract_inverted_index.significantly | 197, 220 |
| abstract_inverted_index.random-effects | 162 |
| abstract_inverted_index.29.90–35.08). | 243 |
| abstract_inverted_index.34.95–36.60). | 263 |
| abstract_inverted_index.CRD42023395010. | 331 |
| abstract_inverted_index.ClinicalTrials.gov | 27 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 96 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 5 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8199999928474426 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.92203086 |
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| citation_normalized_percentile.is_in_top_10_percent | True |