ABSTRACT
To evaluate frequency, maternal morbidity and mortality in patients with uterine rupture at Gynae Unit -II of civil Hospital Hyderabad. Prospective descriptive study. Department of Obstetrics and Gynecology, unit-ll Liaquat University Hospital Hyderabad Sindh Pakistan; from 1st October 2010 to 31st March 2011. All the patients diagnosed as case of uterine rupture was taken as study subject. Data was collected in a pre-designed porforma. Variable analyzed were frequency, demographic characters, maternal morbidity and mortality. During the study, 34 patients out of 1400 deliveries presented with uterine rupture resulting in a frequency of 2.42%or 1:41 deliveries. 64.7%[22] patients were between 26 to 35 years age and 67.64%[23] were multipara.26.47%[9] presented with extension of tears, 17.6%[6] with shock,20.5%[7] with septicemia and 20.5%[7] with wound infection. Uterine rupture is yet a common obstetrical emergency in our area. The significant morbidity and mortality deserves our special attention by a collaborative approach. Regular ante natal checkups, careful selection of patients for vaginal delivery, vigilantly monitoring during labor with smooth switch over to operative delivery can reduce this drastic obstetrical complication
ABSTRACT
Objective: To identify frequency and risk factors in patients presenting with puerperal sepsis in tertiary care hospital
Study Design: Retrospective study
Place and Duration: Department of Obstetrics and Gynaecology [Unit-II] Liaquat University Hospital, Hyderabad, Sindh from June 2006 to May 2008
Methods: The frequency and predisposing factors were analyzed in patients presenting with puerperal sepsis in tertiary level hospital. Medical record of patients who fulfilled criteria of puerperal sepsis was scrutinized and data was entered in a predesigned proforma
Results: Over the study period 230 patients presented with puerperal sepsis representing 6.28% of 3656 admissions in gynecological unit II. So for risk factors were concerned all patient were anemic, 90.86% patients were unbooked and 64.34% patients arrived in university hospital after being from more than one station. 56.08 %patients had frequent vaginal examination[more than five], 54.78 % patients were delivered at home, 48.26% patients were with prolong rupture of membrane [>6hrs], and 46.52% cases with prolong labour. 16.95% patients were admitted with altered consciousness and mortality rate was 21.68%
Conclusion: The study concluded that puerperal sepsis was preventable in majority of cases. Maternal mortality due to puerperal sepsis was very high with 21.68%