UTERINE RUPTURE;
ITS MATERNAL CONSEQUENSES
DOI:
https://doi.org/10.29309/TPMJ/2013.20.05.1202Keywords:
Uterine rupture,, maternal morbidity,, maternal mortality.Abstract
objective: To evaluate frequency, maternal morbidity and mortality in patients with uterine rupture at Gynae Unit -II of civil
Hospital Hyderabad. Study design: Prospective descriptive study. Study setting: Department of Obstetrics and Gynecology, unit-II
Liaquat University Hospital Hyderabad Sindh Pakistan; from 1st October 2010 to 31st March 2011. Subjects and methods: All the
patients diagnosed as case of uterine rupture was taken as study subject. Data was collected in a pre-designed porforma. Variable
analyzed were frequency, demographic characters, maternal morbidity and mortality. Results: During the study, 34 patients out of 1400
deliveries presented with uterine rupture resulting in a frequency of 2.42%or 1: 41deliveries. 64.7%(22) patients were between 26 to 35
years age and 67.64%(23) were multipara.26.47%(9) presented with extension of tears, 17.6%(6) with shock,20.5%(7) with septicemia
and 20.5%(7) with wound infection. Conclusions: Uterine rupture is yet a common obstetrical emergency in our area. The significant
morbidity and mortality deserves our special attention by a collaborative approach. Regular ante natal checkups, careful selection of
patients for vaginal delivery, vigilantly monitoring during labor with smooth switch over to operative delivery can reduce this drastic
obstetrical complication.