National survey of uterine rupture in Japan: Annual report of Perinatology Committee, Japan Society of Obstetrics and Gynecology, 2018

Shintaro Makino; Satoru Takeda; Eiji Kondoh; Kenta Kawai; Jun Takeda; Shigeki Matsubara; Atsuo Itakura; Haruhiko Sago; Shinji Tanigaki; Mamoru Tanaka; Tomoaki Ikeda; Naohiro Kanayama

doi:10.1111/jog.13924

National survey of uterine rupture in Japan: Annual report of Perinatology Committee, Japan Society of Obstetrics and Gynecology, 2018

J Obstet Gynaecol Res. 2019 Apr;45(4):763-765. doi: 10.1111/jog.13924. Epub 2019 Mar 10.

Authors

Shintaro Makino^{1

2}, Satoru Takeda^{1

2}, Eiji Kondoh^{1

3}, Kenta Kawai^{1

4}, Jun Takeda², Shigeki Matsubara^{1

5}, Atsuo Itakura^{1

2}, Haruhiko Sago^{1

6}, Shinji Tanigaki^{1

7}, Mamoru Tanaka^{1

8}, Tomoaki Ikeda^{1

9}, Naohiro Kanayama^{1

4}

Affiliations

¹ Perinatology Committee, Japan Society of Obstetrics and Gynecology, Tokyo, Japan.
² Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan.
³ Department of Gynecology and Obstetrics, Kyoto University, Kyoto, Japan.
⁴ Department of Obstetrics and Gynaecology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
⁵ Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan.
⁶ Center for Maternal-Fetal, Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.
⁷ Department of Obstetrics and Gynecology, Kyorin University School of Medicine, Tokyo, Japan.
⁸ Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
⁹ Department of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Tsu, Japan.

PMID: 30854725
DOI: 10.1111/jog.13924

Abstract

Aim: To clarify the frequency of occurrence of uterine rupture and its prognosis, a nationwide survey was performed.

Methods: Cases of uterine rupture recorded for a period of 5 years were included.

Results: There were 152 cases of uterine rupture with an incidence rate of 0.015%. The scarred uterine rupture cases were found to have a significantly earlier occurrence of uterine ruptures in comparison to the unscarred cases: unscarred 39.0 weeks, cesarean section 37.0 weeks, myomectomy 32 weeks and adenomyomectomy 30-32 weeks. And it became apparent that the frequency of hysterectomy, cerebral palsy and neonatal death were higher in the cases of uterine rupture during labor than before delivery. Among the cases of scarred uterine rupture, neonatal prognosis was poorer in cases of pregnancy after myomectomy or adenomyomectomy in comparison with postcesarean section cases.

Conclusion: This survey revealed the current incidence of uterine rupture in Japan.

Keywords: adenomyomectomy; cesarean section; myomectomy; uterine rupture.

MeSH terms

Adult
Cesarean Section / statistics & numerical data*
Female
Gynecology / statistics & numerical data
Humans
Hysterectomy / statistics & numerical data*
Infant, Newborn
Infant, Newborn, Diseases / epidemiology*
Japan / epidemiology
Obstetrics / statistics & numerical data
Perinatology / statistics & numerical data
Pregnancy
Pregnancy Outcome / epidemiology*
Societies, Medical / statistics & numerical data
Uterine Myomectomy / statistics & numerical data*
Uterine Rupture / epidemiology*
Uterine Rupture / surgery