{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T17:16:32Z","timestamp":1784740592242,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,4,2]],"date-time":"2015-04-02T00:00:00Z","timestamp":1427932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006095","name":"Helse S\u00f8r-\u00d8st RHF","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006095","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To follow trends of uterine rupture over a period of 40\u00a0years in Norway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Population\u2010based study using data from the Medical Birth Registry, the Patient Administration System, and medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Norway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>Women giving birth in 21 maternity units in Norway during the period 1967\u20132008 (<jats:italic>n\u00a0<\/jats:italic>=\u00a01\u00a0441\u00a0712 maternities).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The incidence and outcomes of uterine rupture were compared across four decades: 1967\u20131977; 1978\u20131988; 1989\u20131999; and 2000\u20132008. Multivariable logistic regression was used to determine the odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) for uterine rupture in each decade compared with the second decade.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measure<\/jats:title><jats:p>Trends in uterine rupture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 359 uterine ruptures. The incidence rates per 10\u00a0000 maternities in the first, second, third, and fourth decade were 1.2, 0.9, 1.7, and 6.1, respectively. The <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>s for complete and partial ruptures in the fourth versus the second decade were 6.4 (95% confidence interval, 95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.8\u201310.8) and 7.2 (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 4.2\u201312.3), respectively. Significant contributing factors to this increase were the higher rates of labour augmentation with oxytocin, scarred uteri from a previous caesarean section, and labour induction with prostaglandins or prostaglandins combined with oxytocin. After adjusting for risk factors, the <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>s for complete and partial ruptures were 2.2 (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.3\u20133.8) and 2.8 (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.6\u20134.8), respectively. Severe postpartum haemorrhage, hysterectomy, intrapartum death and infant death after complete uterine ruptures decreased significantly over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A sharply increasing trend of uterine rupture was found. Obstetric interventions contributed to this increase, but could not explain it entirely.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>A sharply increasing trend of uterine ruptures has been found in Norway in recent years.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.13394","type":"journal-article","created":{"date-parts":[[2015,4,2]],"date-time":"2015-04-02T22:24:40Z","timestamp":1428013480000},"page":"780-787","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":106,"title":["Uterine rupture: trends over 40\u00a0years"],"prefix":"10.1111","volume":"123","author":[{"given":"I","family":"Al\u2010Zirqi","sequence":"first","affiliation":[{"name":"Norwegian National Advisory Unit on Women's Health Oslo Norway"},{"name":"Women and Children's Division Rikshospitalet Oslo University Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Stray\u2010Pedersen","sequence":"additional","affiliation":[{"name":"Women and Children's Division Rikshospitalet Oslo University Hospital Oslo Norway"},{"name":"Faculty of Medicine University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Fors\u00e9n","sequence":"additional","affiliation":[{"name":"Norwegian National Advisory Unit on Women's Health Oslo Norway"},{"name":"Norwegian Institute of Public Health Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A\u2010K","family":"Daltveit","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care University of Bergen Bergen Norway"},{"name":"Medical Birth Registry of Norway Norwegian Institute of Public Health Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Vangen","sequence":"additional","affiliation":[{"name":"Norwegian National Advisory Unit on Women's Health Oslo Norway"},{"name":"Norwegian Institute of Public Health Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,2]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"NahunGG PhamKQ ChelmowD.Uterine rupture in Pregnancy. 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