Uterine rupture in association with alkaloidal ("crack") cocaine abuse

Article Abstract:

Crack cocaine abuse by pregnant women may cause uterine rupture. Cocaine can cause both local and body-wide constriction of blood vessels and uterine contractions which can rupture previous cesarian scars. A 43-year-old woman in her 38th week of pregnancy who had previous miscarriages and a cesarean section was admitted to hospital for abdominal pain, nausea and vomiting. She was a daily crack user. She underwent an emergency cesarean section. The surgery showed a rupture along the entire length of the uterine scar from her previous cesarean, which was repaired during the second cesarean. The baby weighed 1345 grams and had hypoxia. Both mother and child recovered and were released.

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Association of interpregnancy interval with uterine scar failure in labor: a case-control study

Article Abstract:

Women with a previous cesarean delivery who get pregnant again within six months or less are more likely to have uterine rupture if they attempt a vaginal birth during the subsequent pregnancy. This was the conclusion of a study of 43 women who had uterine rupture during a vaginal birth and 127 women who did not.

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Labor dystocia and its association with interpregnancy interval

Article Abstract:

The prevalence of labor dystocia and its association with interpregnancy interval is evaluated. The results reveal that labor dystocia is common and in singleton births to multiparous mothers, labor dystocia increases with interpregnancy interval.

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