Risk of uterine rupture in Australian women attempting vaginal birth after one prior caesarean section: A retrospective population-based cohort study

Abstract

Objective: Higher risks of uterine rupture have been reported among women attempting vaginal birth after caesarean (VBAC) particularly following induction with prostaglandins, compared with women who do not labour. This study aimed to estimate these risks as well as that associated with oxytocin use. Design: Population-based retrospective cohort study involving all women who had their first births by caesarean. In their second birth, risks of uterine rupture among women without labour and women who had labour augmented or induced were compared with women who gave birth after spontaneous labour. Setting: Four Australian states in 1998-2000. Population Women on pregnancy outcome databases with..