Abstract
(BJOG. 2019;126(3):370–381) Complete uterine rupture is a rare delivery complication, and is connected with emergency interventions during delivery as well as potentially detrimental outcomes for both mother and child. There is an increasing occurrence of complete uterine rupture, and this trend can be attributed to an increase in trial of labor after cesarean section (TOLAC). TOLAC generally has been accepted as a clinically safe method to reduce the rate of cesarean sections (CSs) and reduce maternal morbidity associated with multiple CSs; however, care providers may be reluctant to offer TOLAC to their patients because of the uterine rupture risk. This population-based study aimed to assess the prevalence of uterine rupture in relationship to CS and TOLAC rates in 9 countries from the International Network of Obstetric Survey Systems (INOSS).
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