ExplanationAdvanced
How does the risk of uterine rupture change based on the timing of a previous cesarean delivery?
The risk of uterine rupture is slightly higher if the previous cesarean was performed within 24 months of the current birth.
The timing of a previous cesarean delivery affects the risk of uterine rupture during a trial of labor after cesarean (TOLAC). Specifically, if the prior cesarean was performed within 24 months of the current birth, the risk of uterine rupture is slightly increased. This suggests that a shorter interval between cesarean deliveries may contribute to a higher risk of uterine rupture during subsequent labor.
Key points
- Risk of uterine rupture is slightly higher if the previous cesarean was within 24 months.
- Timing of cesarean delivery affects uterine rupture risk during TOLAC.
- Shorter intervals between cesareans may increase rupture risk.
Source:Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing· Birth Choices for Pregnant People With a Previous Cesarean Delivery· p. 687–693
Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing
Joo, Yoonmee;Gatewood, J. V.;Israel, Mary Anne M.;Wong McGrath, Kelly;
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