Incidence of rupture uterus at DHQ hospital Faisalabad

ABSTRACT

This study was carried out at DHQ hospital Faisalabad during the period of 18 months from Jan. 1991 to June 1992. Total 3916 deliveries were conducted in this period. There were 35 cases of uterine rupture. Incidence of rupture uterus was 0.89%. Almost 80% of the patients of rupture were unbooked. About 48.57% of the patients were more than para-5. 63% [22] rupture uterus occurred in unscarred uterus and 37% [13] in scarred uterus. 88.58% of the rupture occurred during labour. Majority of which was of more than 24 hours duration. Scar dehiscence was found in 3 cases. In about 63% of the patients, oxytocin drug was misused. Lower segment was the most common site of rupture [88.57%]. Hysterectomy had to be performed in 68.57% of the patients. Post operative complications were more in the unscarred group of patients. Maternal mortality of 14.28% and foetal mortality of 82.85% due to rupture uterus was found in this study which is a significantly high figure