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Correspondence
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Volume 346:134-137 January 10, 2002 Number 2
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Uterine Rupture among Women with a Prior Cesarean Delivery

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To the Editor: Lydon-Rochelle and colleagues (July 5 issue)1 quantify the risk of uterine rupture in a subsequent pregnancy after a first cesarean delivery. Once uterine rupture occurred, the relative risk of the perinatal death of the infant increased by a factor of 10 over that associated with no rupture (5 of 91 deliveries [5.5 percent] vs. 100 of 20,004 [0.5 percent]). In the accompanying editorial, Greene uses this large increment in mortality as justification for stating unequivocally that repeated cesarean section is the safest mode of delivery for the infant.2 Although Greene's statement may be true, given the results . . . [Full Text of this Article]

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