Open AccessUTERINE RUPTURE;
Author(s) -
Chandra Madhudar,
Ambreen Ghori,
Farkhunda Khurshid,
Syed Zulfiquar Ali Shah,
Tarachand Devrajani
Publication year - 2013
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2013.20.05.1202
Subject(s) - medicine , uterine rupture , obstetrics and gynaecology , obstetrics , vaginal delivery , complication , prospective cohort study , pregnancy , gynecology , surgery , uterus , biology , genetics
objective: To evaluate frequency, maternal morbidity and mortality in patients with uterine rupture at Gynae Unit -II of civilHospital Hyderabad. Study design: Prospective descriptive study. Study setting: Department of Obstetrics and Gynecology, unit-IILiaquat University Hospital Hyderabad Sindh Pakistan; from 1st October 2010 to 31st March 2011. Subjects and methods: All thepatients diagnosed as case of uterine rupture was taken as study subject. Data was collected in a pre-designed porforma. Variableanalyzed were frequency, demographic characters, maternal morbidity and mortality. Results: During the study, 34 patients out of 1400deliveries presented with uterine rupture resulting in a frequency of 2.42%or 1: 41deliveries. 64.7%(22) patients were between 26 to 35years age and 67.64%(23) were multipara.26.47%(9) presented with extension of tears, 17.6%(6) with shock,20.5%(7) with septicemiaand 20.5%(7) with wound infection. Conclusions: Uterine rupture is yet a common obstetrical emergency in our area. The significantmorbidity and mortality deserves our special attention by a collaborative approach. Regular ante natal checkups, careful selection ofpatients for vaginal delivery, vigilantly monitoring during labor with smooth switch over to operative delivery can reduce this drasticobstetrical complication.