caa a22 4500 445310871 CHVBK 20180317142629.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00404-011-2048-x doi (NATIONALLICENCE)springer-10.1007/s00404-011-2048-x Risk of uterine rupture in women undergoing trial of labour with a history of both a caesarean section and a vaginal delivery [Elektronische Daten] [Hinke de Lau, Hendrik Gremmels, Nico Schuitemaker, Anneke Kwee] Purpose: To determine the risk of uterine rupture for women undergoing trial of labour (TOL) with both a prior caesarean section (CS) and a vaginal delivery. Methods: A systematic literature search was performed using keywords for CS and uterine rupture. The results were critically appraised and the data from relevant and valid articles were extracted. Odds ratios were calculated and a pooled estimate was determined using the Mantel-Haenszel method. Results: Five studies were used for final analysis. Three studies showed a significant risk reduction for women with both a previous CS and a prior vaginal delivery (PVD) compared to women with a previous CS only, and two studies showed a trend towards risk reduction. The absolute risk of uterine rupture with a prior vaginal delivery varied from 0.17 to 0.46%. The overall odds ratio for PVD was 0.39 (95% CI 0.29-0.52, P<0.00001). Conclusion: Women with a history of both a CS and vaginal delivery are at decreased risk of uterine rupture when undergoing TOL compared with women who have only had a CS. The Author(s), 2011 Uterine rupture nationallicence Trial of labour nationallicence VBAC nationallicence Caesarean section nationallicence Meta-analysis nationallicence de Lau Hinke Department of Gynecology and Obstetrics, Diakonessenhuis Utrecht, Utrecht, Netherlands aut Gremmels Hendrik Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, Netherlands aut Schuitemaker Nico Department of Gynecology and Obstetrics, Diakonessenhuis Utrecht, Utrecht, Netherlands aut Kwee Anneke Department of Gynecology and Obstetrics, University Medical Center Utrecht, Utrecht, Netherlands aut Archives of Gynecology and Obstetrics Springer-Verlag 284/5(2011-11-01), 1053-1058 0932-0067 284:5<1053 2011 284 404 https://doi.org/10.1007/s00404-011-2048-x text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-2048-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- de Lau Hinke Department of Gynecology and Obstetrics, Diakonessenhuis Utrecht, Utrecht, Netherlands aut NATIONALLICENCE 700 1- Gremmels Hendrik Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, Netherlands aut NATIONALLICENCE 700 1- Schuitemaker Nico Department of Gynecology and Obstetrics, Diakonessenhuis Utrecht, Utrecht, Netherlands aut NATIONALLICENCE 700 1- Kwee Anneke Department of Gynecology and Obstetrics, University Medical Center Utrecht, Utrecht, Netherlands aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/5(2011-11-01), 1053-1058 0932-0067 284:5<1053 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer