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Induction of labour as a factor in uterine rupture

https://doi.org/10.21886/2219-8075-2025-16-4-20-27

Abstract

In recent years, there has been an increase in the frequency of labor induction in obstetrics. In developed countries, their frequency ranges from 6.8 to 35.5 per cent. The reasons for the increase in the frequency of induction of labour are the growing number of women with high perinatal and obstetric risk. Induction of labour is not a safe procedure, and its effectiveness depends on the correct choice of indications, contraindications, timing and methods. Induction is considered justified if its use improves maternal and perinatal outcomes and does not increase complications. One of the complications of induction is uterine rupture. The article presents a scientific review of the literature devoted to an important problem – uterine rupture in obstetric practice associated with induction of labor. The data were analyzed based on foreign and domestic sources (e-Library, MedLine, PubMed) for 2005–2025 using the following keywords: “uterine rupture”, “labor induction”, “hemoperitoneum”, “perinatal mortality”. Of the 90 articles reporting uterine rupture associated with labor induction, 39 articles were selected that met the selection criteria (there were no other risk factors for uterine rupture). Summarising the information available in the literature reflecting aspects of this issue will help to adequately assess the risks of induction of labour and make it safe.

About the Authors

V. B. Tskhay
Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

Vitaly B. Tskhay, Dr. Sci. (Med.), Professor, Head of the Department of Perinatology, Obstetrics and Gynecology, Faculty of Medicine

Krasnoyarsk


Competing Interests:

Authors declares no conflict of interest



M. Ya. Domracheva
Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation

Marina Ya. Domracheva, Cand. Sci. (Med.), Associate Professor of the Department of Perinatology, Obstetrics and Gynecology, Faculty of Medicine

Krasnoyarsk


Competing Interests:

Authors declares no conflict of interest



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For citations:


Tskhay V.B., Domracheva M.Ya. Induction of labour as a factor in uterine rupture. Medical Herald of the South of Russia. 2025;16(4):20-27. (In Russ.) https://doi.org/10.21886/2219-8075-2025-16-4-20-27

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ISSN 2219-8075 (Print)
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