Uterine Rupture: A Retrospective Analysis

Abstract

Background: Uterine rupture in pregnancy is a rare and often catastrophic complication. It is associated with a high incidence of foetal and maternal morbidity. Several factors are known to increase the risk of uterine rupture. The present study was undertaken to analyze the frequency, predisposing factors, and maternal and fetal outcomes of uterine rupture.

Methods: A retrospective analysis of cases of uterine rupture was conducted in the Department of Obstetrics and Gynecology, at LTMMC and LTMGH Mumbai over a period of 5 years.

Results: A total of 66,840 deliveries were conducted and 60 cases of rupture uterus were managed during the study period. Thus the incidence of uterine rupture was 0.8/1000 deliveries. Out of 60 cases, 41 (68.3%) were unregistered women. The frequency of uterine rupture was maximum (53.33%) between 37-40 weeks of gestation. Previous scar was the main predisposing factor for uterine rupture.58.33% cases needed operative hysterectomy while 33.33% needed rent repair alone and were treated successfully. The maternal mortality was 11.66% (7 cases). Out of 60 babies, 11 (18.33%) were live birth and 49 (81.66%) were still births.

Conclusion: Ruptured uterus is a preventable but potentially life threatening conditions, which require prompt diagnosis and treatment. Reducing the primary caesarean section rate and optimizing care for women with previous caesarean section will go a long way in decreasing the incidence of rupture uterus.