Volume : 5, Issue : 4, April - 2016

A STUDY OF RUPTURE UTERUS AT A TERTIARY CENTRE

Vijay Kalyankar, Bhakti Kalyankar, Kanan Yelikar, Pandurang Dodke

Abstract :

<p>&lt;p&gt;&amp;lt;p&amp;gt;&amp;amp;nbsp;Objectives: In this study, we saw the incidence, site &amp;amp;amp; type of Rupture uterus in, by the intended mode of delivery and investigate &amp;amp;amp; quantify the predisposing and risk factors, assess Maternal and Perinatal outcome, and determine its treatment modalities. Material &amp;amp;amp; Method: Study included all patients of Rupture uterus diagnosed during vaginal delivery or by Caesarean section with gestational age of more than 28 weeks in Dept of OBGY, Aurangabad from October 2013 to October 2015 Results: The incidence was 0.13%. Scarred uterus contributed to 66% cases with 2% Maternal mortality and 72% Perinatal mortality. In 70% cases, uterus could be saved. Conclusion: Rupture uterus seriously complicates pregnancy. It has high Maternal morbidity and Perinatal mortality. Previous scarred uterus needs vigilance and proper selection for vaginal birth after caesarean section. Exploratory laparotomy and Uterus conserving surgery remains the gold standard for management.&amp;lt;/p&amp;gt;&lt;/p&gt;</p>