A Retrospective Study of Uterine Rupture in Tertiary Care Hospital Over Three Years
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2019, Vol 7, Issue 2
Abstract
Introduction: Rupture uterus is a rare but potentially catastrophic obstetric complication with serious maternal morbidity and fetal mortality. This is a three year (2014-17) retrospective clinical study of cases of uterine rupture in labour room in a tertiary care institute. Aim: Aim of study was to evaluate the incidence of uterine rupture, associated risk factors, diagnosis (clinical features), complications, different surgical modalities of management and maternal n fetal outcome. Material & Methods: Retrospective analytical study of 14 cases of rupture of uterus in SMIMER, surat was collected from case records of 16221 deliveries during a three year span of (July, 2014-July 2017). Parameters like age, gravida, cause of rupture, type, site of rupture, surgical management and maternal n fetal outcome were recorded. The collected data was analysed by SPSS software v19. Results: Out of 16221 deliveries during the 3 year period there were 14 cases of uterine rupture with incidence of 0.86 in 1000 deliveries. Mean age of rupture was ~27 years. 85.7% were multigravida & majority cases (64.2%) were unregistered cases. Only 36% had the required min of 3 ANC visits. 57% of cases of ruptured uterus had past history of caeserian section. Though prolonged labour was seen in only 21.4% of cases, it was seen in 50% of cases in unscarred deliveries. 14% cases shows possibility of inadvertent use of oxytocin use whereas 7% had undergone instrumental delivery. 64.2% cases had complete rupture; majority (78%) had a rupture in lower segment. Apart from minor postoperative complications 21% had broad ligament haematoma & 7% had associated bladder injury. 1 pt developed vesicovaginal fistula. Repair was possible in 64% cases, whereas other remaining cases landed up in hysterectomy. Perinatal mortality was in 85% cases. Whereas maternal deaths was seen in 28% cases. Conclusion: Vigilant monitoring of first n second stage of labour by partogram, judicious use of oxytocin, timely recognition and early intervention of prolonged and obstructed labour and scar dehiscence in high risk pregnancies will reduce the incidence of uterine rupture. Proper antenatal councelling and care will definitely play a major role in reducing its incidence.
Authors and Affiliations
Archish Desai
Keywords
Related Articles
- EP ID EP626519
- DOI 10.21088/ijog.2321.1636.7219.1
- Views 76
- Downloads 0
A Study on Congenital Malformations in a Tertiary Care Medical College
Aim: This study was conducted to analyze the congenital malformations- their incidence, types, maternal socio-demographic profile and probable risk- factors. Results: our study showed that unwanted pregnancies, lack of a...
To Study Association of Cervical Length of Full Term Pregnant Women and Outcome of Labour
Introdution: Our aim was to determine the potential value of a routine ultrasound examination in low-risk pregnancies at 37 to 41 weeks for the prediction of likely outcome of labour, including the risk of prolonged preg...
Ovarain Ectopic Pregnancy
Ovaries are rare sites of ectopic gestation; here we present a case of ovarian ectopic pregnancy and stress the importance of histopathological examination for definitive diagnosis.
Study of Zinc and Copper Levels in Maternal Serum and Fetal Umbilical Cord in Preterm Labours
Current study designed to assess the status of zinc and copper in women with preterm labour compared to women with term labour. 100 pregnant (50 in preterm labor and 50 in term labour) included in this study. Both study...
Awareness and Practices of Temporary Contraception in Rural Women of Uttar Pradesh
Introduction: Contraception has been a single most important intervention to reduce the burden of unwanted pregnancy. Understanding the attitude and knowledge of the women towards contraception, helps in improving their...