Abstract
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Highlights
Complete uterine rupture is a rare obstetric emergency, which seriously threatens maternal and infant life
This study aims to investigate the high-risk factors, clinical characteristics, and outcomes of complete uterine rupture in patients with uterine scars
Eight patients with complete uterine rupture (88%) had a history of cesarean section, while four patients (44%) had a history of twice having a cesarean section. These results further strengthen the indication that the uterine scar caused by a cesarean section is the main cause of uterine ruptures
Summary
Complete uterine rupture is a rare obstetric emergency, which seriously threatens maternal and infant life. The high-risk factors for uterine rupture include congenital uterine malformation and uterine operation histories, such as myomectomy and laparoscopic oviduct surgery, uterine perforation, head dystocia, multiple artificial abortions, improper use of prostaglandin or oxytocin, placental factors and external trauma [1]. The main cause of uterine ruptures for women in developing countries is head dystocia [2]. The data of nine scar uterus patients with complete uterine rupture during pregnancy and childbirth were summarized and analyzed, and the risk factors and clinical symptoms, including complex threatening uterine rupture symptoms in mothers and fetuses, were assessed to improve the diagnosis and treatment of complete uterine rupture
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