A study on maternal and fetal outcome in uterine rupture at a tertiary care hospital

Abstract

Spontaneous rupture of uterine wall has been seen to follow previous perforation during a dilatation and curettage; also in cases of manual removal of placenta where excessive amount of myometrium is removed. Traumatic rupture during delivery was most often produced by internal podalic version and breech extraction. Other causes of traumatic rupture include difficult forceps delivery, breech extraction and unusual fetal enlargement such as hydrocephalus. Rupture uterus caused by fundal pressure to try to accomplish vaginal delivery is practically reprehensible. A total of 19,605 deliveries were conducted during the two year study period at a tertiary care hospital. There were total of 35 cases of uterine rupture managed in the hospital during this period. In the present study, out of 35 cases, 2 cases had VVF (5.7%) both of them were treated conservatively (catheterised for 21 days) one case had undergone re-laparotomy (2.9%) after subtotal hysterectomy. Out of 35 cases maternal mortality were 3 (8.6%). In the present study, out of 35 cases 24 babies were dead (68.6%), 9 (25.7%) babies were stillborn and 2 (5.7%) of babies were alive.