Analysis of Various Types of Rupture Uterus and to Assess Maternal and Perinatal Outcome in Cases of Rupture Uterus over a Period of 5 Years: An Experience from Madhya Pradesh.
Loading...
Date
2017-01
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: Uterine rupture in pregnancy is a deadly obstetrical emergency endangering the life of both mother and
fetus. Methods: The present prospective study was conducted to analyse the various types of rupture uterus, changing
trends of uterine rupture and surgical management along with maternal morbidity, mortality and perinatal outcome in these
cases. Results: In this study, total cases were 42,205 of deliveries and 179 cases of rupture uterus giving incidence as
0.42 % that is 1 per deliveries. Complete uterine rupture are mush common i.e. (77.71 %) than incomplete rupture.
Postnatal rupture was found in 11 cases. Uterine / scar repair was done in 53.11 % while obstetric hysterectomy was done
in 46.89 % of cases. Most common additional surgical procedure was repair of rupture bladder i.e. 13 cases. Cervical /
vaginal / perennial tear repair was performed in cases of rupture uterus from obstructed labour. A total 13 mortality
occurred in cases of rupture uterus. Most common cause of maternal mortality is haemorrhagic shock, accounting for
61.23% of total maternal mortality. Majority of babies i.e. 71.9 % were still born and only 21.2 % were born alive and
healthy. Neonatal death occurred in 6.7 % of cases. Fetal mortality in cases of uterine rupture is very high. Conclusion: It
is concluded that due to changing obstetric practices and with liberalization of practices of caesarean section, the incidence
of scar rupture is on a rise and will further increase in near future therefore pregnant woman with previous scar should be
given trial after proper risk assessment and only in set up where 24 hrs emergency services for caesarean section.
Description
Keywords
rupture uterus, pregnancy, caesarean section, maternal morbidity
Citation
Qureshi Shazi, Mishra Paribhashita, Mishra Udit, Ranjan K P. Analysis of Various Types of Rupture Uterus and to Assess Maternal and Perinatal Outcome in Cases of Rupture Uterus over a Period of 5 Years: An Experience from Madhya Pradesh. Annals of International Medical and Dental Research. 2017 Jan-Feb; 3(1): 5-9.