Journal article
Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO Multicountry Survey on Maternal and Newborn Health
K Motomura, T Ganchimeg, C Nagata, E Ota, JP Vogel, AP Betran, MR Torloni, K Jayaratne, SC Jwa, S Mittal, Z Dy Recidoro, K Matsumoto, M Fujieda, I Nafiou, K Yunis, Z Qureshi, JP Souza, R Mori
Scientific Reports | NATURE PORTFOLIO | Published : 2017
DOI: 10.1038/srep44093
Abstract
Caesarean section (CS) is increasing globally, and women with prior CS are at higher risk of uterine rupture in subsequent pregnancies. However, little is known about the incidence, risk factors, and outcomes of uterine rupture in women with prior CS, especially in developing countries. To investigate this, we conducted a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health, which included data on delivery from 359 facilities in 29 countries. The incidence of uterine rupture among women with at least one prior CS was 0.5% (170/37,366), ranging from 0.2% in high-Human Development Index (HDI) countries to 1.0% in low-HDI countries. Factors sign..
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Awarded by Japan Society for the Promotion of Science
Funding Acknowledgements
We would like to express our gratitude to all members of the WHO MCS Research Group and the extensive network of institutions and individuals who contributed to the project.Members of the WHO MCS Research Group include: Joao Paulo Souza (WHO - Global Study Coordinator), Ahmet Metin Gulmezoglu (WHO Global Study Coordinator), Guillermo Carroli (Centro Rosarino de Estudios Perinatales [CREP], Argentina Coordinator for Latin America), Pisake Lumbiganon (Khon Kaen University, Thailand - Coordinator for Asia), Zahida Qureshi (University of Nairobi, Kenya - Coordinator for Africa), Maria Jose Costa (WHO Angola), Bukola Fawole (University of Ibadan, Nigeria), Yvonne Mugerwa (Makerere University, Uganda), Idi Nafiou (Universite Abdou Moumouni de Niamey, Niger), Isilda Neves (Delegacao Provincial de Saude de Luanda, Angola), Jean-Jose Wolomby-Molondo (Cliniques Universitaires de Kinshasa, Democratic Republic of Congo), Hoang Thi Bang (WHO Office in Vietnam), Nomita Chandhiok (Indian Council of Medical Research - ICMR, India), Kannitha Cheang (WHO Office in Cambodia), Kang Chuyun (Peking University, China), Kapila Jayaratne (Ministry of Health, Government of Sri Lanka), Chandani Anoma Jayathilaka (WHO office in Sri Lanka), Syeda Batool Mazhar (Pakistan Institute of Medical Sciences, Pakistan), Rintaro Mori (National Center for Child Health and Development, Japan), Mir Lais Mustafa (Afghan Public Health Institute, Afghanistan), Laxmi Raj Pathak (Ministry of Health and Population, Government of Nepal), Deepthi Perera (Ministry of Health, Government of Sri Lanka), Tung Rathavy (National Maternal and Child Health Center, Cambodia), Zenaida Recidoro (National Center for Disease Prevention and Control, The Philippines), Malabika Roy (Indian Council of Medical Research -ICMR, India), Pang Ruyan (Peking University, China), Naveen Shrestha (CIST College, Nepal), Surasak Taneepanichsku (Chulalongkorn University, Thailand), Nguyen Viet Tien (National Obstetrics and Gynaecology Hospital, Vietnam), Ganchimeg Togoobaatar (National Center for Child Health and Development, Japan), Mira Wehbe (American University of Beirut, Lebanon), Buyanjargal Yadamsuren (Ministry of Health, Government of Mongolia), Wang Yan (Peking University, China), Khalid Yunis (American University of Beirut, Lebanon), Vicente Bataglia (Hospital Nacional de Itaugua, Paraguay), Jose Guilherme Cecatti (University of Campinas UNICAMP, Brazil), Bernardo Hernandez (Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA), Juan Manuel Nardin (Centro Rosarino de Estudios Perinatales, Argentina), Alberto Narvaez (Colegio Medico de Pichincha and Fundacion Salud, Ambiente y Desarollo, Ecuador), Eduardo Ortiz-Panozo (Instituto Nacional de Salud Publica, Mexico), Ricardo Perez-Cuevas (Social Protection and Health Division, Inter American Development Bank, Mexico City, Mexico), Eliette Valladares (Universidad Nacional Autonoma de Nicaragua, Nicaragua), Nelly Zavaleta (Instituto de Investigacion Nutricional, Peru), Anthony Armson (Dalhousie University, Canada), Caroline Crowther (University of Adelaide, Australia), Carol Hogue (Emory University, USA), Gunilla Lindmark (Uppsala University, Sweden), Suneeta Mittal (All India Institute of Medical Sciences, India), Robert Pattinson (University of Pretoria, South Africa), Mary Ellen Stanton (United States Agency for International Development - USAID, USA), Liana Campodonico (Centro Rosarino de Estudios Perinatales [CREP], Argentina), Cristina Cuesta (Centro Rosarino de Estudios Perinatales [CREP], Argentina), Daniel Giordano (Centro Rosarino de Estudios Perinatales - CREP Argentina), Nirun Intarut (Chulalongkorn University, Thailand), Malinee Laopaiboon (Khon Kaen University, Thailand), Armando Seuc (WHO), Joshua Vogel (WHO), Rajiv Bahl (WHO), Nguyen Thi My Huong (WHO), Jose Martines (WHO), Matthews Mathai (WHO), Mario Merialdi (WHO), Lale Say (WHO). This manuscript represents the views of the named authors only, and not the views of their institutions or organizations. WHOMCS was financially supported by the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP); the World Health Organization (WHO); the United States Agency for International Development (USAID); the Ministry of Health, Labour and Welfare of Japan; and Gynuity Health Projects. The present study (secondary analysis) was financially supported by the Project for Baby and Infant in Research of Health and Development to Adolescent and Young Adult (BIRTHDAY) and the Research on Global Health Issues from the Japan Agency for Medical Research and Development, AMED. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. We also would like to thank Mr. Ian Blazina and Ms. Emma Barber for proofreading and editing this manuscript.