Uterine rupture: an analysis of 25 cases

ABSTRACT

To review the incidence of uterine rupture at Sondeman [P] Hospital Quetta and to highlight the main causes and management approach. A retrospective analysis of the referred cases received with suspected diagnosis of uterine rupture over a period of fourteen months [1[st] March, 1999 to 30[th] April 2000]. Setting: Gynae Unit-1, Department of Obstetrics and Gynaecology Sandeman Provincial Hospital, Quetta During this period of fourteen months 61 87 deliveries took place in the hospital including 25 cases of uterine rupture, an incidence of 4 per 1 000 deliveries. Repair of uterus with bilateral tubal ligation was done in 14 [56%] patients while subtotal abdominal hysterectomy had to be done in 8 [32%] patients. Major postoperative complication was wound sepsis seen in four [16%] patients. Three [12%] maternal deaths occurred, two [66.66%] patients died due to hemorrhage and one [33.33%] patient due to sepsis. Fetal mortality was 1 00%