Inadvertent hysterotomy extension at cesarean delivery and risk of uterine rupture in the next pregnancy.
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Inadvertent hysterotomy extension at cesarean delivery and risk of uterine rupture
in the next pregnancy
Olivia DumontAuthentic Science Research Program Manchester-Essex Regional High School, Manchester-by-the-Sea, MA 01944
Inadvertent Hysterotomy Extension at Cesarean Delivery and Risk of Uterine Rupture in the Next PregnancyOlivia Dumont Manchester-Essex High School, Manchester-by-the-Sea, MA
Teacher, Dr. Maria Burgess, Manchester-Essex High School
Mentor, Dr. Henry Barth, Mass General Hosp, Boston, MA
The risk of uterine rupture was looking to be determined for a woman who’s prior incision from a cesarean had an extension. This was examined via a retrospective cohort study of 2385 women who had two cesarean sections in a row or a cesarean and subsequent vaginal birth (VBAC). Among the study group, 271 had an extension of the initial hysterotomy. The risk of uterine rupture for this group was 1.8%, whereas the risk for a woman with a prior cesarean sans an extension is 48%. It was concluded that extension of the incision of a prior cesarean is a significant risk factor by cesarean.
-Pre-term birth can be detrimental.
-Surfactants and lung development.
Extension of the Hysterotomy
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Figure 1. Surgically-repaired vertical hysterotomyof uterus, post-birth.
Analysis of data showed that 271 of 2385, or 11.4%, of women had an extension.
I would like to thank my three mentors, Dr. Ilona Goldfarb, Dr. William Barth (Chief of Maternal Fetal Medicine), and Dr. Dana Henry from Mass General and Brigham and Women’s Hospitals. They went out of their way to provide me with an incredible, unique, informative and irreplaceable experience. I couldn’t thank them enough! Also supported by a grant from the Spaulding Educational Fund.