{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T14:38:44Z","timestamp":1793457524092,"version":"4.5.0"},"reference-count":34,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"11","license":[{"start":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T00:00:00Z","timestamp":1638748800000},"content-version":"vor","delay-in-days":35,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To compare maternal and perinatal risk factors associated with complete uterine rupture and uterine dehiscence.<\/jats:p><jats:p>\n          Methods\u2003Cross-sectional study of patients with uterine rupture\/dehiscence from January 1998 to December 2017 (30 years) admitted at the Labor and Delivery Unit of a tertiary teaching hospital in Canada.<\/jats:p><jats:p>\n          Results\u2003There were 174 (0.1%) cases of uterine disruption (29 ruptures and 145 cases of dehiscence) out of 169,356 deliveries. There were associations between dehiscence and multiparity (odds ratio [OR]: 3.2; p\u2009=\u20090.02), elevated maternal body mass index (BMI; OR: 3.4; p\u2009=\u20090.02), attempt of vaginal birth after a cesarian section (OR: 2.9; p\u2009=\u20090.05) and 5-minute low Apgar score (OR: 5.9; p\u2009&lt;\u20090.001). Uterine rupture was associated with preterm deliveries (36.5\u2009\u00b1\u20094.9 versus 38.2\u2009\u00b1\u20092.9; p\u2009=\u20090.006), postpartum hemorrhage (OR: 13.9; p\u2009&lt;\u20090.001), hysterectomy (OR: 23.0; p\u2009=\u20090.002), and stillbirth (OR: 8.2; p\u2009&lt;\u20090.001). There were no associations between uterine rupture and maternal age, gestational age, onset of labor, spontaneous or artificial rupture of membranes, use of oxytocin, type of uterine incision, and birthweight.<\/jats:p><jats:p>\n          Conclusion\u2003This large cohort demonstrated that there are different risk factors associated with either uterine rupture or dehiscence. Uterine rupture still represents a great threat to fetal-maternal health and, differently from the common belief, uterine dehiscence can also compromise perinatal outcomes.<\/jats:p>","DOI":"10.1055\/s-0041-1739461","type":"journal-article","created":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T00:00:45Z","timestamp":1638835245000},"page":"820-825","source":"Crossref","is-referenced-by-count":16,"title":["Risk Factors Associated with Uterine Rupture and Dehiscence: A Cross-Sectional Canadian Study"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1573-1300","authenticated-orcid":false,"given":"Ernesto Antonio","family":"Figueir\u00f3-Filho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6943-8922","authenticated-orcid":false,"given":"Javier Mejia","family":"Gomez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2208-7613","authenticated-orcid":false,"given":"Dan","family":"Farine","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2021,12,6]]},"reference":[{"issue":"20","key":"ref1","doi-asserted-by":"publisher","first-page":"3352","DOI":"10.1080\/14767058.2018.1463369","article-title":"Maternal and perinatal outcomes of 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