Ruptured uterus - an ongoing problem

ABSTRACT

To determine frequency of ruptured uterus, its causes, site, post operative maternal morbidity and mortality and to suggest its preventive measures. A prospective study. Jan. 2004 to Dec. 2005, Lady Aitcheson Hospital Lahore. This study was carried on 23 patients with rupture of uterus. Total no of deliveries during this period were 7533. We received 23 patients with rupture of uterus. Out of these 17 were unbooked and only 6 were booked. Out of the booked patients 4 took trial of labour outside the hospital. Only 2 patients had uterine rupture in the hospital and that also was due to scar dehiscence. All laboring patients should be given due trial before embarking upon first c/s, moreover c/s should be done only for obstetric reasons and preferably by lower segment transverse incision under proper aseptic conditions by a competent surgeon. Patients should be counselled for early booking in next pregnancy and delivery should be conducted in the hospital