Rupture uterus - a cause of concern in rural medical college hospital in Assam

Abstract

Objective: The study is undertaken to find out the incidence, the cause of it, and the line of management and outcome of rupture uterus. Methodology: The entire patient diagnosed and treated from 1st January, 2016 to 31st December, 2016 are included. The detailed history, clinical examination, cause of rupture and line of management are recorded as per proforma. Result: Twelve numbers of cases were detected as rupture of uterus out of 7438 total deliveries and incidence of rupture uterus was 0.1%. Out of them 7 cases were post caesarian (58.33%), 3 cases were due to obstructed labour (25%) and 2 cases had associated rupture bladder (16.6%). Six cases had undergo subtotal hysterectomy (50%) and 4 cases had repair (33%). The outcomes of all the cases were satisfactory, all cases survived. Conclusion: The Rupture uterus is a matter of concern in obstetric practice. The post caesarian pregnancy and obstructed labour are the leading cause in our institution.

Keywords

• rupture uterus
• scarred uterus
• subtotal hysterectomy
• repair