ArticleInternational journal of women's health2025
Analyzing Influencing Factors of Uterine Rupture in Pregnant Women with Scarred Uterus Undergoing Repeat Delivery and Evaluating the Predictive Value of Lower Uterine Anterior Wall Thickness.
Article in International journal of women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To analyze influencing factors of uterine rupture in pregnant women with a scarred uterus undergoing repeat delivery and to investigate the predictive value of transabdominal ultrasound measurement of lower uterine anterior wall thickness. Methods: A retrospective analysis of 159 pregnant women with scarred uterus (March 2022-May 2024) divided into rupture group (n=48) and non-rupture group (n=111). Lower uterine anterior wall thickness was measured via transabdominal ultrasound pre-delivery. Univariate/multivariate logistic regression and ROC curves were used to identify risk factors and evaluate predictive performance. Results: The rupture group had higher rates of advanced maternal age, prenatal BMI ≥30 kg/m², multiparity, single-layer cesarean suturing, and shorter inter-pregnancy intervals (all P<0.05). Lower uterine anterior wall thickness was significantly thinner in the rupture group (1.24±0.31 mm vs 2.19±0.52 mm, P<0.001). Multivariate analysis identified thinner lower uterine anterior wall thickness (OR=2.359, 95% CI:1.362-4.134) and single-layer suturing (OR=1.863, 95% CI:1.125-3.086) as independent risk factors, while longer inter-pregnancy interval was protective (OR=0.256, 95% CI:0.091-0.634; all P<0.05). ROC analysis showed AUCs of 0.821 (scar thickness), 0.783 (single-layer suturing), and 0.759 (inter-pregnancy interval); combined prediction achieved an AUC of 0.894 (95% CI:0.837-0.946), sensitivity 90.23%, specificity 84.15%. Uterine rupture was associated with worse perioperative outcomes (eg, higher transfusion rates, longer hospitalization) and adverse neonatal outcomes (lower birth weight, more preterm births; all P<0.05). Conclusion: Lower uterine anterior wall thickness, single-layer suturing, and inter-pregnancy interval are key determinants of uterine rupture. Combined assessment of these factors provides high predictive accuracy (AUC=0.894) and improves risk stratification.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.