Lillian H Goodman, Amanda A Allshouse, Torri D Metz, Ann M Bruno
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引用次数: 0
Abstract
National rates of trial of labor after cesarean (TOLAC) have increased, but the risk of uterine rupture remains. Clinical practice- and patient-level changes also have occurred in the past decade, and an evaluation of contemporary uterine rupture rates is needed. Using natality files available in the National Vital Statistics System from 2010 to 2022, we conducted a repeated cross-sectional analysis to evaluate U.S. trends in uterine rupture and perinatal outcomes among individuals undertaking TOLAC. Temporal trends were characterized using joinpoint regression, with average annual percent change (AAPC) and 95% CI reported. There were 2,888 uterine ruptures (0.28%) among 1,016,073 included deliveries. The rate of uterine rupture increased over time, from 0.20% in 2010 to 0.37% in 2022 (AAPC 6.2, 95% CI, 4.3-8.7). Although rates of uterine rupture increased over time, it remains a rare event with a low absolute risk.
期刊介绍：
"Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics.
"Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.
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