Author(s): K. Saritha1, R. Sowjanya2, V. Sireesha3
Uterine rupture is a preventable obstetric complication. The aim of the study is to know the incidence of uterine rupture, find out the predisposing factors, maternal and foetal outcome in a tertiary teaching hospital and suggest measures to decrease the incidence of rupture uterus. MATERIAL AND METHODS: All cases referred to the hospital with rupture uterus and cases delivered in the hospital with rupture of uterus between July 2010 to June 2015 were included in the study. Age, parity, gestational age, mode of delivery, type of rupture, surgery done, and foetomaternal outcome were noted. RESULTS: The incidence of rupture uterus in the present study was 1.32 per 1,000 deliveries. Most of these patients were young with mean age of 24.23 years, 1st and 2nd gravida. Previous caesarean scar and traumatic instrumental delivery with forceps were common risk factors. Maternal morbidity was high and maternal mortality was 7.89% and foetal loss was high (78.95%). Uterine repair with bilateral tubectomy was the commonest surgery performed. CONCLUSION: Causes of rupture uterus are preventable. Proper antenatal care, early referral of patients with risk factors to centres equipped with facilities for surgical intervention and facilities for blood transfusion, careful monitoring of women in labour with partogram, judicious use of oxytocin will go a long way in decreasing the incidence of rupture uterus.