Title: D A 3 Year Study of Rupture Uterus at a Tertiary Hospital
Authors: Dr Vinita Bansal, Dr Pooja Saini
DOI: http://dx.doi.org/10.18535/jmscr/v4i5.23
Objectives: To evaluate risk factors, type and site of rupture, management, maternal and perinatal outcome and to identify preventive measures at our institute. Methods: A retrospective study carried out at Government medical college and hospital, Kota. The details of 50 cases of complete uterine rupture managed between January 2013 and December 2015 were reviewed. Results: There were 50 cases of ruptured uterus out of total 35,946 deliveries (including 12,642 cesarean section) over a period of three years with prevalence of 0.13%.The most common age group was 21-30 years .35(70%) cases of uterine rupture occurred in scarred uterus while 15(30%)cases occurred in unscarred uterus. The main contributing factor to uterine rupture identified in this study, was poor ante-natal care. 1. Kulkarni S, Patil S, Budihal D, Seetaram S. Rupture uterus: A 10 years review. J Obstet Gynae. 1997; 47: 344-52. 2. Sieck CC. Vaginal birth after cesarean section: a comparison of rural and metropolitan rates in Oklahoma. Jokla State Med Assoc.1997; 90:444-9. 3. Bashin A, Burstein E, Rosen S, Smolin A, Shiner E, Mazor M. Clinical Significance of uterine scar dehiscence in women with previous caesarean delivery: Prevalence and independent risk factors. J Reprod Med. 2008; 53:8-14. 4. Malik HS. Frequency, Predisposing factors and fetomaternal outcome in uterine rupture. J Coll Physicians Surg Pak. 2006; 16:472-5. 5. Dhaifalah I, Santavy J, Fingerova H. Uterine rupture during pregnancy and delivery among women attending the Al-thawra Hospital in Sana/A city of Yemen republic. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2006; 150:279-83. 6. Alam I, Khan A, Ahmed R, Begum N. A Two Year Review of Uterine Rupture at Gynaecology Unit-Ayub Teaching Hospital. J Ayub Med Coll Abottabad 2000; 12:21-2. 7. Ekpo EE. Uterine rupture as seen in the University of Calaber Teaching Hospital, Nigeria: a five -year review. J Obstet Gynaecol. 2000; 20:154-6. 8. Lynch JC, Pardy JP. Uterine rupture and scar dehiscence. A five year survey. Anaesth Intensive care 1996; 24:699-704. 9. UNICEF. The state of the Worlds Children Report Oxford University, Press New York,1996. 10. Hasan JA, Zaki M, Kareem K. Rupture of gravid uterus. J Surg Pak. 2005; 10:20-2 11. Khan S, Parveen Z, Begum S, Alam I. Uterine rupture: A review of 34 cases at Ayub Teaching Hospital Abottabad. J Ayub Med Coll Abottabad 2003; 15:50-2. 12. Gul A. Rupture of previously scarred uterus. Ann king Edward Med Coll. 2004;10:573-5. 13. Rashmi, Radhakrisknan G, Valid NB, Agarwal N. Rupture uterus changing Indian scenario. J Indian Med Assoc. 2001; 99:634-7Abstract
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