Uterine Rupture: A Two-Year Review at a Teaching Institution

Abstract

Background: To determine the socio-demographic and obstetric causes of uterine rupture, the case fatality rate and association of these factors with maternal mortality among patients of uterine rupture. Methods: A retrospective study between January 2010 to December 2011. Result: During the study period, 18637 deliveries were conducted and 69 cases of uterine rupture were admitted giving the incidence of 0.37% of deliveries. Of the 69 women 53.5% had spontaneous uterine rupture. Among these the most frequent factor (40.5%) was mismanaged labour leading to prolonged & then obstructed labour. The case fatality rate was 10.1%. Factors like age, parity, status of antenatal care, site of rupture & presence of shock did not show any statistically significant association with maternal mortality from uterine rupture. Conclusion: A more vigilant approach to prevent prolonged and obstructed labour in delivery units around SCB medical college is required to reduce the incidence of this condition. Strengthening emergency obstetric care at all level of health care delivery system can help in anticipation, early diagnosis and resuscitation to reach the referral centre safely, thereby reducing the case fatality rate of uterine rupture.

Ruptured uterus outcome among the pregnant women admitted in a tertiary care centre

“…19 In present study, hypovolemic shock was present in 15 (32.60%) which is higher than that of Ghadei R and Team which observed shock in 4.3% of study subjects. In our study we had not find a single case of vasico vaginal fistula but a study from Yemen reported a 3.3% incidence of VVF.…”