UTERINE RUPTURE

FOUR YEARS EXPERIENCE ON SEVENTY FOUR CASES IN SECONDARY CARE HOSPITAL

Abstract

Objective: To determine frequency and to identify social, demographic and
obstetrical causes of rupture uterus in Bagh Azad Jamu Kashmir and to define appropriate
recommendations for its prevention and effective management. Study Design: A descriptive
case series study. Setting: DHQ Hospital Bagh at AJK. Period: 1st September 2008 to 30th
September 2012 was done. Methodology: Data was entered on pre-design proforma included
age, parity, booked or un-booked cases, time delay to reach hospital and etiological factors.
Results: Incidence of rupture uterus is 1:185 deliveries. Mostly occurred in grand multipara and
injudious use of syntocinon and neglected labor are most common cause. Conclusions: Skilled
birth attendant, free transportation and avoidance of undue use of syntocinon in peripheral
health center are key element for better maternal outcome.