Qahtani N Al. A Study of 160 cases of uterine rupture

摘要: Introduction: Uterine rupture is a serious emergency in obstetrics and a life-threatening situation.Material and Methods: It is a retrospective cohort study conducted at Lady Willingdon Hospital in Lahore for a period of 14 years from Jan 2004 to December 2017.Results: The incidence of uterine rupture was 0.9%. The highest number of uterine ruptures occurred in women> 35 years, the majority occurred in women para 5 and above; 53 (33.1%). Seventy percent of patients had previous uterine scar from myomectomy or Caesarean Section (CS). Obstructed labour was found among 14 (8.8%) patients and precipitate labour among 12 (7.5%) patients. There were 160 cases uterine rupture, 15 were unrepairable and underwent total or subtotal hysterectomy. 145 were repairable. The commonest site of rupture was transverse 92 (63.4%), grand multigravida with transverse rupture and those with fundal rupture had repair and bilateral tubal ligation 12 (8.3%) and 19 (13.1) respectively. Fifty percent of patients received blood transfusion minimum of 2 units of blood. Febrile illness was seen among 23 (14.4%), wound infection 17 (10%), admission to intensive care unit 14 (8.8%) and aspiration pneumonia in 9 (5.6%) patients. There were five maternal deaths (3.1%). A total of 15 babies died giving an incidence of perinatal mortality of 0.94%.Conclusion: This study concluded that previous uterine scar in the commonest cause of uterine rupture, followed by neglected prolonged labour in unscarred uteri. This catastrophic complication can be prevented by proper antenatal care counselling and clear documentation for hospital delivery for any high-risk …