Document Detail


Uterine rupture in pregnancy: a five-year study.
MedLine Citation:
PMID:  20107824     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Uterine rupture during pregnancy is a rare occurrence that frequently results in high incidence of maternal and fetal morbidity and mortality.
AIM: To study the incidence, risk factors, maternal and fetal outcome of uterine rupture.
STUDY DESIGN: A retrospective study.
METHODS: A retrospective study was carried out in the Department of Obstetrics and Gynecology in a tertiary health care center. The cases of uterine rupture whether booked or unbooked that were received and managed in the hospital over a period of 5 years from January 2002 to December 2006, were included in the study.
RESULTS: The total number of uterine rupture cases was 57 out of 33,394 deliveries. The incidence of uterine rupture was 0.17%. Majority of the patients belonged to age group 30-34 years and were multiparas. Most of the cases were due to obstructed and neglected labor (52.63%), 35.08% due to scar rupture and 8.77% were due to uterine trauma. The bladder injuries were found in 8.77%. Repair of the uterine rent was possible in 70.18% (40/57) cases. Hysterectomy was done in 29.82% cases. Stillbirths were observed in 94.74% of women with uterine rupture. There was no maternal mortality.
CONCLUSIONS: The leading cause of uterine rupture was found to be neglected and obstructed labor due to mismanagement by local untrained birth attendants. Timely recognition and referral to higher centers can reduce the maternal and fetal morbidity and mortality due to uterine rupture.
Authors:
Anjali Gupta; Smiti Nanda
Related Documents :
12423824 - Rupture of noncommunicating rudimentary uterine horn pregnancy.
18210284 - Clinical and morphological studies on spontaneous rupture of the gastrocnemius tendon i...
1743344 - Müllerian defects in women with normal reproductive outcome.
7811194 - Ultrasound diagnosis of rudimentary uterine horn pregnancy in fourteen weeks of gestati...
24591934 - Comparison of the ultrashort gonadotropin-releasing hormone agonist-antagonist protocol...
17021594 - Monitoring progress toward achieving maternal and infant healthy people 2010 objectives...
Publication Detail:
Type:  Journal Article     Date:  2010-01-28
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  283     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  437-41     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, 1109/16, Opposite Model School, Delhi Road, Rohtak, 124001, Haryana, India, ajiii2003@yahoo.co.in.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The study on role of peripheral blood mononuclear cell in HBV intrauterine infection.
Next Document:  Acute schizophrenia is accompanied by reduced T cell and increased B cell immunity.