{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:34:12Z","timestamp":1777944852246,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Uterine rupture is a rare but serious complication in obstetrics, associated with maternal and fetal risks. This study evaluates its prevalence and outcomes in a Portuguese hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To assess the prevalence of uterine rupture in pregnancy, as well as the associated maternal and neonatal morbidity and mortality, in a hospital setting in Portugal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A retrospective descriptive study was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective review of complete uterine rupture cases (2019\u20132024) at the Local Health Unit of T\u00e2mega e Sousa. Data included maternal characteristics, obstetric history and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 10,447 deliveries, 13 cases of uterine rupture occurred (12.44\/10,000), primarily in women with prior caesarean sections (84.6%). Abnormal cardiotocography (76.9%) and abdominal pain (23.1%) were common signs. Fetal extrusion occurred in 69.2%. No maternal deaths were recorded, but perinatal mortality was 7.7%. Post-partum haemorrhage affected 61.5%, with five transfusions required.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The prevalence of uterine rupture aligns with rates in developed countries. Caution is advised when using oxytocin in women with prior caesareans. Prompt detection and intervention are crucial to minimize complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251399891","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T07:26:55Z","timestamp":1763796415000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Uterine rupture in pregnancy over 5\u2009years: A retrospective descriptive study"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5397-3090","authenticated-orcid":false,"given":"Ant\u00f3nio","family":"De Pinho","sequence":"first","affiliation":[{"name":"Department of Gynaecology-Obstetrics and Paediatrics, Faculty of Medicine, University of Porto, Portugal"},{"name":"Department of Gynaecology-Obstetrics, Local Health Unit of T\u00e2mega and Sousa, Penafiel, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Martins Dos Santos","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ol\u00edmpia","family":"Carmo","sequence":"additional","affiliation":[{"name":"Department of Gynaecology-Obstetrics, Local Health Unit of T\u00e2mega and Sousa, Penafiel, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o","family":"Bernardes","sequence":"additional","affiliation":[{"name":"Department of Gynaecology-Obstetrics and Paediatrics, Faculty of Medicine, University of Porto, Portugal"},{"name":"CINTESIS@RISE, Faculty of Medicine, University of Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Gynaecology-Obstetrics and Paediatrics, Faculty of Medicine, University of Porto, Portugal"},{"name":"CINTESIS@RISE, Faculty of Medicine, University of Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.114855"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000181"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1223287"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina56110574"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(93)90032-E"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001184"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02533.x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02688.x"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2010.03.005"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01484.x"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00725.x"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13394"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2007.00786.x"},{"key":"e_1_3_3_15_2","unstructured":"Entidade Reguladora da Sa\u00fade. Informa\u00e7\u00e3o de monitoriza\u00e7\u00e3o sobre acesso e atividade dos prestadores de cuidados de sa\u00fade de obstetr\u00edcia\/partos. ERS [cited 4 January 2025]. https:\/\/www.ers.pt\/pt\/atividade\/supervisao\/selecionar\/informacao-de-monitorizacao\/informacoes\/informacao-de-monitorizacao-sobre-acesso-e-atividade-dos-prestadores-de-cuidados-de-saude-de-obstetricia-partos\/"},{"key":"e_1_3_3_16_2","unstructured":"World Health Organization. Caesarean section rates continue to rise amid growing inequalities in access. WHO [cited 4 January 2025]. https:\/\/www.who.int\/news\/item\/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access (2021)."},{"issue":"3","key":"e_1_3_3_17_2","first-page":"182","article-title":"Internal Medicine at the T\u00e2mega e Sousa Hospital Center","volume":"29","author":"Pires L","year":"2022","unstructured":"Pires L. Internal Medicine at the T\u00e2mega e Sousa Hospital Center. Med Intern 2022; 29(3): 182\u2013184.","journal-title":"Med Intern"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15271"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13810"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02136.x"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.09.001"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010415"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xfre.2020.09.005"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13133"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.04.010"},{"key":"e_1_3_3_27_2","article-title":"Uterine rupture in a gravid, unscarred uterus: a case report","volume":"24","author":"Halassy SD","year":"2019","unstructured":"Halassy SD, Eastwood J, Prezzato J. 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