Premium
RUPTURE OF THE UTERUS
Author(s) -
Trivedi R. R.,
Patel K. C.,
Swami N. B.
Publication year - 1968
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1968.tb00119.x
Subject(s) - swami , obstetrics and gynaecology , officer , medicine , gynecology , philosophy , pregnancy , theology , political science , law , biology , genetics
IN the West, with good antenatal care and supervision during labour, rupture of the uterus has become rare, except by dehiscence of a Caesarean scar. In India, even in urban areas, antenatal care is limited, while in villages there is practically no obstetric care and delivery is usually managed by a Dayan (untrained midwife) or by unqualified “doctors”, and uterine rupture is not uncommon. We report 181 cases of rupture of the uterus, studied at the Shree Sayagi General Hospital, Baroda, India, from 1951 to 1965. This hospital is the only hospital within 30 miles of Baroda and most of our patients were admitted after prolonged labour at home. The total number of cases delivered during these years was 29,551 so that the incidence of rupture of the uterus was 0.6 per cent. The distribution of the cases according to parity is shown in Table I and compared with that of consecutive deliveries in the hospital. Because of the illiteracy of the patients, their ages are only approximately estimated from the age of menarche and the ages of their children. Table I1 gives the distribution.