Clinical analysis of 40 cases of uterine rupture at Durgapur Subdivisional Hospital: an observational study.

Forty cases of uterine rupture that occurred at Durgapur Subdivisional Hospital during 5 years period from January, 1995 to December, 1999 were analysed for clinical observations. The incidence was 1:273; 77.5% were spontaneous, 15% were traumatic, and 7.5% had scar rupture. It was complete in 92.5% cases. Disproportion was responsible in 40% cases and malpresentation in 27.5% cases. Total hysterectomy was done in 30% cases, subtotal in 27.5% cases and rent repair in 42.5% of cases. Overall maternal mortality was 30% of which highest (41.2%) found in rent repair and lowest (16.6%) in total hysterectomy.