Retrospective study on rupture uterus, its causes and maternal-fetal outcome
Keywords:
maternal morbidity, obstetrician, complication which is commonlyAbstract
Rupture uterus is a gravid complication which is commonly seen post uterine surgery in perinatal women leading to maternal morbidity and fetal death. Common causes are previous caeserian section, obstructed labour , malpresentations, multipara women etc. Patient presents with pain, uterine bleeding, fetal distress, and even death of fetus. We did a retrospective study in our institute in which we collected data of previous 4 years. Incidence of rupture was 0.2%. Most common risk factor was previous caeserian section and other uterine surgery. Unscarred uterus ruptured most commonly due to obstructed labour, other causes were malpresentation, multipara women and induction of labour. Majority of fetuses can not be saved due to late arrival to hospital. 49 patient required obstetric hysterectomy and rest 53 uterus repaired with or without ligation. Other complications were extension of rupture, bladder injury and hemoperitonium. We concluded that scarred uterus need to monitor closely at term and promt transportation and diagnosis can improve fetomaternal outcome.
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