Original Research Article
Year: 2022 | Month: November | Volume: 9 | Issue: 11 | Pages: 585-592
DOI: https://doi.org/10.52403/ijrr.20221175
Uterine Rupture and its Fetomaternal Outcome: A Tertiary Care Hospital Study
Dr. Sara Syed1, Dr. Iqra Riyaz2, Dr. Rizwana Habib3
1Resident, Department of OB&G, GMC Srinagar, Jammu &Kashmir, India
2Senior Resident, Department of OB&G, GMC Srinagar, Jammu &Kashmir, India
3Professor and Head, Department of Obstetrics and Gynecology, Lala Ded Hospital, GMC Srinagar
Corresponding Author: Dr. Rizwana Habib
ABSTRACT
Objective: To analyse the frequency, predisposing factors, site of rupture management and fetomaternal outcome in uterine rupture.
Study design: prospective observational study
Methods: This study was conducted at the Department of obstetrics and gynecology in Lalla Ded hospital, from august 2020 to august 2022. All cases of ruptured uterus, who were either admitted with this complication or who developed it in the hospital, were included in the study. Patients having ruptured uterus due to congenital abnormality were excluded from the study. Patient’s parity, age, details of predisposing factors, type of rupture, the management, maternal and fetal outcome were taken into consideration for analysis. Data was analyzed using SPSS version 20.0.(SPSS Inc., Chicago, Illinois, USA). Continuous variables were expressed as Mean ± SD and categorical variables were summarized as frequencies and percentages. Graphically the data was presented by bar and pie diagrams.
Results: The total number of deliveries during the course of 2 years from august 2020 to august 2022 were 44236. There were 15 cases (0.034%) of uterine rupture. Out of these only three (20%) were booked. Most of the patients (53.3%) presented between the ages 30-35. Majority of uterine rupture occurred in para 3 (46.7%) followed by para 2 (33.3%). Common cause of uterine rupture was prolonged neglected obstructed labour (60%). Rupture of Previous caesarean section scar was found in 40%. Anterior uterine wall was involved in 46.7% of cases. Posterior wall rupture in 33.3% and posterior along with lateral wall in 20%. Hysterectomy was performed in 40%. There were two maternal (13.3%) and 8 intrauterine deaths (53.3%). Live birth rate was 46.6%.
Conclusion: This study showed that prolonged neglected obstructed labour is the main cause of uterine rupture followed by scarred uterus in our setting. Proper antenatal care and timely intervention with prompt referral to higher center and updated training programs for health care providers is the need of time to prevent this catastrophic but avoidable complication.
Keywords: uterine rupture, scarred uterus, obstructed labour (cephalopelvic disproportion)
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