Indian Journal of Obstetrics and Gynecology Research
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2394-2746
Online ISSN: 2394-2754
CODEN : IJOGCS
Indian Journal of Obstetrics and Gynecology Research (IJOGR) open access, peer-reviewed quarterly journal publishing since 2014 and is published under auspices of the Innovative Education and Scientific Research Foundation (IESRF), aim to uplift researchers, scholars, academicians, and professionals in all academic and scientific disciplines. IESRF is dedicated to the transfer of technology and research by publishing scientific journals, research content, providing professional’s membership, and conducting conferences, seminars, and award more...Original Article
Author Details :
Volume : 5, Issue : 3, Year : 2018
Article Page : 409-412
https://doi.org/10.18231/2394-2754.2018.0094
Abstract
Uterine rupture is a known potential catastrophic obstetric complication accounting for 9.3% of maternal deaths.
Aim: of this study is to evaluate the incidence, identify the risk factors as well as complications and to know the maternal and fetal outcome of rupture uterus.
Materials and Methods: The study was carried out in R.L. Jalappa medical college. All cases of uterine rupture admitted in hospital were analyzed from Jan 2006-Jan 2016 records. Included in the study.
Results: The incidence of uterine rupture was 0.6%. Totally 108 cases of uterine rupture found in our study, majority of the women were in 26-30 years age group (48.1%) and unbooked (79.6%). The incidence was more in para 2 patients 37%. The uterine rupture was most frequently seen in previous 2 LSCS (36.2%) than previous one LSCS (26%). The common cause of uterine rupture was previous LSCS (62%), spontaneous rupture (18.5%) and iatrogenic risk factors (17.5%) The most common site of rupture was lower uterine segment in 98.1%. We performed scar repair with sterilization (45.3%) and without sterilization (45.3%). Hysterectomy was performed in 23.14%. Maternal complications noted in our study were anemia (98%), puerperal sepsis (12.9%), PPH (55.6%), acute renal failure (0.9%) and VVF (0.9%). The perinatal mortality was 18.5%.
Conclusion: Uterine rupture is a catastrophic condition. All the modern generation obstetricians should keep these rare complications in mind when they are dealing with postpartum morbidity patients. This is a preventable complication if women are provided with good antenatal care and intrapartum management.
Keywords: Hysterectomy, Lower segment caesarean section (LSCS), Postpartum hemorrhage (PPH), Uterine rupture, Scar repair.
How to cite : Nagajyothi S, S.r S, Anudeep .p, Meela R, Uterine rupture- A 10 years review in tertiary hospital. Indian J Obstet Gynecol Res 2018;5(3):409-412
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