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Underreporting of complete uterine rupture and uterine dehiscence in women with previous cesarean section

Fogelberg, Maria LU ; Baranov, Anton LU ; Herbst, Andreas LU and Vikhareva, Olga LU (2017) In Journal of Maternal-Fetal and Neonatal Medicine 30(17). p.2058-2061
Abstract

Objective: To determine the true incidence of complete uterine rupture and uterine dehiscence among women delivered by cesarean section after a previous cesarean section. Methods: Medical records of all women who delivered at University Hospital in Malmö, Sweden, during 2005–2009 (n = 21 420) were retrieved from the electronic patient record system (EPRS). After adjustment for inaccuracies, 716 women who had undergone repeat cesarean section were identified and their operation reports were reviewed. Descriptions of complete uterine rupture or uterine dehiscence in operation reports were compared with diagnoses registered in EPRS with International Classification of Diseases codes version 10 (ICD-10). Sensitivity and specificity of... (More)

Objective: To determine the true incidence of complete uterine rupture and uterine dehiscence among women delivered by cesarean section after a previous cesarean section. Methods: Medical records of all women who delivered at University Hospital in Malmö, Sweden, during 2005–2009 (n = 21 420) were retrieved from the electronic patient record system (EPRS). After adjustment for inaccuracies, 716 women who had undergone repeat cesarean section were identified and their operation reports were reviewed. Descriptions of complete uterine rupture or uterine dehiscence in operation reports were compared with diagnoses registered in EPRS with International Classification of Diseases codes version 10 (ICD-10). Sensitivity and specificity of complete uterine rupture registration were calculated. Results: There were 13 women with a registered diagnosis of uterine rupture. After reviewing medical records of women with repeat cesarean section, seven additional cases of complete uterine rupture, 33 cases of uterine dehiscence and 39 cases of extremely thin myometrium were identified. The incidence of complete uterine rupture and uterine dehiscence for women who delivered by repeat cesarean section was 2.8% and 10.1%, respectively. Conclusions: Diagnosis of complete uterine rupture was underreported in the EPRS by 35% and diagnosis of uterine dehiscence was missing in 100% of cases.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cesarean section, International Classification of Diseases, repeat cesarean section, uterine dehiscence, uterine rupture
in
Journal of Maternal-Fetal and Neonatal Medicine
volume
30
issue
17
pages
2058 - 2061
publisher
Taylor & Francis
external identifiers
  • pmid:27899049
  • wos:000405211300007
  • scopus:85006151559
ISSN
1476-7058
DOI
10.1080/14767058.2016.1236249
language
English
LU publication?
yes
id
a426e82e-48be-496a-8a8c-85d073991526
date added to LUP
2016-12-28 14:26:45
date last changed
2025-01-12 18:34:40
@article{a426e82e-48be-496a-8a8c-85d073991526,
  abstract     = {{<p>Objective: To determine the true incidence of complete uterine rupture and uterine dehiscence among women delivered by cesarean section after a previous cesarean section. Methods: Medical records of all women who delivered at University Hospital in Malmö, Sweden, during 2005–2009 (n = 21 420) were retrieved from the electronic patient record system (EPRS). After adjustment for inaccuracies, 716 women who had undergone repeat cesarean section were identified and their operation reports were reviewed. Descriptions of complete uterine rupture or uterine dehiscence in operation reports were compared with diagnoses registered in EPRS with International Classification of Diseases codes version 10 (ICD-10). Sensitivity and specificity of complete uterine rupture registration were calculated. Results: There were 13 women with a registered diagnosis of uterine rupture. After reviewing medical records of women with repeat cesarean section, seven additional cases of complete uterine rupture, 33 cases of uterine dehiscence and 39 cases of extremely thin myometrium were identified. The incidence of complete uterine rupture and uterine dehiscence for women who delivered by repeat cesarean section was 2.8% and 10.1%, respectively. Conclusions: Diagnosis of complete uterine rupture was underreported in the EPRS by 35% and diagnosis of uterine dehiscence was missing in 100% of cases.</p>}},
  author       = {{Fogelberg, Maria and Baranov, Anton and Herbst, Andreas and Vikhareva, Olga}},
  issn         = {{1476-7058}},
  keywords     = {{Cesarean section; International Classification of Diseases; repeat cesarean section; uterine dehiscence; uterine rupture}},
  language     = {{eng}},
  number       = {{17}},
  pages        = {{2058--2061}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Maternal-Fetal and Neonatal Medicine}},
  title        = {{Underreporting of complete uterine rupture and uterine dehiscence in women with previous cesarean section}},
  url          = {{http://dx.doi.org/10.1080/14767058.2016.1236249}},
  doi          = {{10.1080/14767058.2016.1236249}},
  volume       = {{30}},
  year         = {{2017}},
}