Associated Factors and Outcome of Uterine Rupture at a Tertiary Care Centre

Shakti Jain; Urvashi Barman Singh; Yashi Srivastava; Mamta Kumari

Volume : X, Issue : III, March - 2020

Associated Factors and Outcome of Uterine Rupture at a Tertiary Care Centre

Shakti Jain, Urvashi Barman Singh, Yashi Srivastava, Mamta Kumari

Abstract :

Objective: To find risk factors and causes of uterine rupture, treatment modalities and maternal and foetal outcome of uterine rupture in a tertiary care centre. Method: A 2–year retrospective study of 24 cases of uterine rupture was done. These cases were analysed for demographic profile, risk factors, management and maternal and foetal outcome. Results: Our study shows that most cases of uterine rupture found in women of low socioeconomic status (79.1%), 91.6% cases were unbooked and 95.7% were multiparous. 50% cases were due to obstructed labour and 41.6% were due to rupture of scarred uterus. Repair was done in 12.5% cases while hysterectomy was done in 87.5% cases maternal mortality was only 8.3% but neonatal mortality was very high (100%). Conclusion: Uterine rupture is a major cause of maternal morbidity and neonatal mortality. Obstructed labour, prior caesarean section and grand multipara were the major contributing factors. Identification of these highrisk women, early referral and optimal management needs to reduce maternal morbidity and perinatal mortality.