Uterine rupture in labour

A retrospective analysis of women, identified clinically with uterine rupture, in labour, was carried out at the Department of Obstetrics and Gynaecology unit 2 Civil Hospital Karachi between December 2000 to December 2001. The objective of the study was to identify the risk factors for uterine rupture in labor, to report maternal and fetal outcome and to identify preventive measures. There were 24 cases of uterine rupture. Of these, 4 were incomplete. The risk of uterine rupture was increased in grand multipara, women with previous caesarean section scars and those who had injudicious use of uterine stimulants. Lower uterine segment anteriorly was the commonest site of rupture. Vesico vaginal fistula, a serious morbidity was observed in 12.5%. There was one maternal death and 20.[83%] fetal losses