MATERNAL AND FETAL OUTCOME IN CASES OF RUPTURE UTERUS: A RETROSPECTIVE STUDY

Shazi Qureshi, Udit Mishra, Paribhashita Mishra and *K.P. Ranjan

ABSTRACT

Introduction: Uterine rupture in pregnancy is a deadly obstetrical emergency endangering the life of both mother and fetus. Materials and methods: The present prospective study was conducted to know the incidence, demographic distribution pattern, high risk factors associated with rupture uterus, to analyse the trends of rupture and surgical management along with morbidity, mortality and perinatal outcome over a period of 5 years. Result: In this study,total cases were 42,205 deliveries and 179 cases of rupture uterus. Incidence of rupture uterus per year in last 5 years. Maximum patients belong to group 21-25 years and 26-30 years respectively. Majority of patients showing increase incidence of scar rupture in cases of previous caesarean sections, which was hindu by religion, belong to rural area. In majority of patients a combination of risk factor was. there was increased incidence of scar rupture. Complete uterine rupture are mush common than incomplete rupture. Cervical / vaginal / perennial tear repair was performed in cases of rupture uterus from obstructed labour. Most common cause of maternal mortality is haemorrhagic shock. Conclusion: It is concluded that due to changing obstetric practices and with liberalization of practices of caesarean section, the incidence of scar rupture is on a rise and will further increase in near future therefore pregnant woman with previous scar should be given trial after proper risk assessment and also found that spontaneous rupture due to grandmultiparity, obstructed labour and malpresentation are more fatal.

Keywords: rupture uterus, incidence, demographic distribution, risk factors.