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Correspondence
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Volume 339:268-269 July 23, 1998 Number 4
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Case 9-1998: Uterine Rupture

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 by Greene, M. F.
To the Editor: The cardiovascular collapse and death of a healthy 38-year-old woman considered an "excellent candidate" for vaginal delivery after cesarean section (March 19 issue)1 should raise some doubt in the minds of those who fervently promote this practice. If the rate of uterine tear is 1 percent and 12 to 15 percent of all deliveries in the United States are by primary cesarean section, we can calculate the occurrence of uterine tear to be 4000 to 5000 per year.

This complication is often associated with fetal damage and, not infrequently, with fetal or neonatal death. Maternal mortality, although . . . [Full Text of this Article]

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