Background Choice of delivery route after previous cesarean delivery can be difficult
because both trial of labor after cesarean delivery and elective repeat cesarean delivery are
associated with risks. The major risk that is associated with trial of labor after cesarean
delivery is uterine rupture that requires emergency laparotomy. Objective This study aimed
to estimate the occurrence of uterine rupture during trial of labor after cesarean delivery
when lower uterine segment thickness measurement is included in the decision-making …

Peripartum hysterectomy can be a life-saving procedure for women with postpartum
hemorrhage when other interventions have failed. The procedure itself, however, can be
fatal with the risk of death ranging from 1% to 6%. Women with a suspected placenta
accreta/percreta are considered to be at high-risk for peripartum hysterectomy, and are often
referred to tertiary centers where this procedure is frequently performed. Research has
indicated that outcomes are improved at centers where the procedure is performed more …