Postcesarean scar rupture

ABSTRACT

Nineteen cases of rupture of the uterus following cesarean section, representing a ten-year period (July 1945 to June 1955) and observed at the charity obstetrical ward, P.G.H., are presented herein. During this period, there were 85 cases of rupture of the uterus from various causes out of 47,078 deliveries. Therefore, 22.3% of all uterine rupture cases were postcesarean rupturesAnalysis of our data strikingly demonstrates the relative safety of the lower segment scar for mother and baby in contrast to the comparative danger to the infant particularly, of the classical scar. Out of the 19 cases presented, 15 had previous classical cesarean section and 4 had low cervical cesarean section. Twelve of the classical scar ruptures were complete. There were 2 maternal deaths due to shock and hemorrhage from previous classical section and 12 fetal deaths due to anoxia. There was one maternal death due to hypostatic pneumonia and sepsis following incomplete rupture of the lower segment; and one fetal death from complete rupture. The knowledge gathered from a reuter of these cases is enumerated and certain recommendation made. (Summary)