Rupture uterus: a clinical analysis

Authors

  • Soma Bandyopadhyay Department of Obstetrics and Gynaecology, Katihar Medical College, Bihar, India
  • Sipra Singh Department of Obstetrics and Gynaecology, Katihar Medical College, Bihar, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162089

Keywords:

Oxytocin, Handled labor, Subtotal hysterectomy, Unbooked case, Maternal mortality

Abstract

Background: Rupture uterus is one of the major causes of maternal mortality. It not only causes mortality, the survivor suffers much morbidity also. Finding out the etiology of rupture uterus, can help us to reduce its incidence. Present study is undertaken to know the scenario of rupture uterus in our institution.

Methods: It is a retrospective study from 2011 to 2015. Data was obtained from the record section of the hospital. All rupture uterus cases were included. Previous mode of delivery, etiologies of rupture, operation performed etc. were studied.

Results: Incidence of rupture uterus was 1 in 618 deliveries. Maternal mortality was 25%, perinatal mortality was 88.5%. Unbooked cases were 90.4%. Previous mode of delivery was vaginal delivery in 67.3% cases. Most common cause of rupture uterus was oxytocin overdose (26.9%) and handled labor (30.8%). Complete rupture was found in 75% cases. Subtotal hysterectomy was performed in 46.1% cases.

Conclusions: Mandatory antenatal care (90.4% unbooked cases) and safe institutional delivery (oxytocin overdose and handled labor common cause) may change the rupture uterus scenario.

References

Dutta DC. Pregnancy with prior caesarean delivery. In: Konar H ed DC Dutta’s Textbook of Obstetrics. 8th ed. New Delhi, Jaypee Brothers Medical Publishers (P) Ltd.; 2015:381-386.

Sinha M, Gupta R, Gupta P, Rani R, Kaur R, Singh R. Uterine rupture: a seven year review at a tertiary care hospital in New Delhi, India. Ind J Com Med. 2016;41:45-9.

Sahu L. A 10 year analysis of uterine rupture at a teaching institution. J Obstet Gynecol India. 2006;56:502-6.

Rashmi, Radhakrisknan G, Vaid NB, Agarwal N. Rupture uterus-changing Indian scenario. J Indian Med Assoc. 2001;99:634-7.

Revicky V, Muralidhar A, Mukhopadhyay S, Mahmood T. A case series of uterine rupture: Lessons to be learned for future clinical practice. J Obstet Gynaecol Ind. 2012;62:665-73.

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Published

2017-02-23

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Section

Original Research Articles