RESUMO
OBJECTIVE: To evaluate the number and circumstances of uterine ruptures in five years period from 2005 to 2009 in five regional departments of gynecology and obstetrics of Vysocina region. To describe the uterine ruptures in case reports and to compare them with literature datas. DESIGN: Retrospective, multicenter, descriptive study. SETTING: Jihlava, Havlíckuv Brod, Pelhrimov, Nové Mesto na Morave and Trebíc departments of gynecology and obstetrics. METHODS: Retrospective data collection, statistical evaluation, case description and the system leading to prevention of uterine ruptures. RESULTS: In the evaluated period from 2005 to 2009 there were 25,195 deliveries in the 5 above mentioned departments of gynecology and obstetrics of Vysocina region. There were 4440 (17.6%) C. sections performed, 20 postpartum hysterectomies and 6 uterine ruptures (1/4200 deliveries). One case of uterine rupture was letal. CONCLUSION: The above mentioned results prove that the frequency of uterine ruptures in the Vysocina region (1/4200) is lower than in US (1/1519). Early diagnosis of uterine rupture is very often difficult, that may lead to the delay of adequate treatment.
