Volume : V, Issue : I, January - 2016

Changing Trends of Uterine Rupture in Patliputra Medical College & Hospital, Dhanbad

Dr. Sabita Sukladas

Abstract :

Objectives: To determine the impact of improved obstetric care on the incidence, risk factors, management modalities and feto– maternal outcome of uterine rupture. Materials and methods: Retrospective analysis of clinical records of uterine rupture cases at the department of Obstetrics and Gynecology, in our institute (PMCH, Dhanbad) from June 2011 to May 2012. Outcome measures: Maternal and perinatal morbidity and mortality. Results: Analysis showed 21 cases of uterine rupture among 3375 deliveries, the incidence being (0.62%). Majority of the cases (76%) were unbooked. Important risk factors were mishandling by unskilled birth attendant in previous caesarian scar (76.19%) for uterine rupture. Ages of the patients were in between 22–35 years. Frequency of complete rupture was more than incomplete uterine rupture 15 (71.42%) women underwent sub–total hysterectomy and 6 (28.42%) underwent repair and tube ligation. 2(9.5%) cases were associated with bladder injury & 2(9.5%) cases had vascular injury.Three (14.2%) were associated with hydrocephalus. There was no maternal mortality. Conclusion: The absolute incidence of uterine rupture has not decreased inspite of the availability of ANC care and facilities for institutional deliveries. Only the etiological profile has changed. Our study found previous C–section as the most important emerging cause for uterine rupture. Reduction in C– section rate, awareness about the signs and symptoms of impending rupture, careful monitoring during induction in a scarred uterus on the part of caregivers and counseling about need for timely booking and importance of institutional delivery are important factors for reducing uterine rupture.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Sabita Sukladas Changing Trends of Uterine Rupture in Patliputra Medical College & Hospital, Dhanbad International Journal of Scientific Research, Vol : 5, Issue : 1 January 2016

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