A Three year Review of uterine Rupture in Tertiary hospital: lessons for Obstetric Care Rajora Parveen1,*, Rajpal Amanjot2 1Associate Prof. Deptt.of Obst. & Amp, Gynae Ggsmc Faridkot 2Assistant Prof. Deptt. of Anesthesia, Gynae Ggsmc Faridkot *Corresponding Author: Dr. Parveen Rajora House No. 49, Medical College Campus, Faridkot Mobile: 9988383140 EMail: parveenrajora@yahoo.com
Online published on 5 May, 2018. Abstract background Uterine rupture is a potentially catastrophic event during child birth leading to maternal and fetal mortality and morbidity. This disaster can be preventable, still in India it accounts for 5–10% of all maternal deaths. Aim Our aim was to analyze the cases of rupture uterus with the objective to propose preventive measures. Method It is a three year retrospective analysis of uterine rupture cases recorded from 1st June 2010 to 31st May 2013 in Guru Gobind Singh Medical College and Hospital Faridkot. Results A total of 28 cases of rupture uterus were recorded among 2722 deliveries making the incidence of 10.29 per 1000 deliveries. We found close association of previous caesarean section 75%, injudicious use of oxytocin 35.71%, grand multiparity 35.71% and obstructed labour 25% with ruptue uteri. Repair was done in 60.71% and hysterectomy was done in 39.28% of cases. Neonatal outcome was nil in complete rupture. Common maternal complications faced were shock, sepsis and bladder trauma. Conclusion We just need to upgrade our health system starting from the level of TBA and dai's creating more awareness among pregnant ladies especially with previous caesarean section. Top Keywords Rupture uteri, TBA, Caesarean section, Obstetric care. Top |