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Related Concept Videos

Uterine Tubes01:16

Uterine Tubes

The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
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The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs of...

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Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
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Uterine rupture: preventable obstetric tragedies?

Sangeeta K Mishra1, Norman Morris, Dhruba Kumar Uprety

  • 1Department of Obstetrics and Gynaecology, BP Koirala Institute of Health Sciences, Dharan, Nepal. sangeetamishra2002@yahoo.co.in

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 23, 2006
PubMed
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Uterine rupture remains a significant cause of maternal death in developing nations. This study highlights unsafe obstetric practices and recommends improved care, especially for prolonged labor, to reduce maternal mortality and morbidity.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Surgical Emergencies

Background:

  • Ruptured uterus is a rare obstetric emergency in Western countries but a significant cause of maternal mortality in developing nations.
  • Lack of antenatal care and skilled birth attendants contributes to high incidence.
  • Prolonged labor and obstructed labor are key risk factors.

Purpose of the Study:

  • To review uterine rupture cases at a tertiary obstetric unit in eastern Nepal.
  • To identify factors contributing to uterine rupture.
  • To recommend improvements in labor management, particularly for obstructed labor in resource-poor settings.

Main Methods:

  • Retrospective review of all uterine rupture cases managed between March 2002 and March 2006.
  • Data collected from medical records.
  • Analysis of patient demographics, labor progression, interventions, and outcomes.

Main Results:

  • Fifty-two cases of uterine rupture occurred over four years, averaging one per month.
  • Most affected women were unbooked multigravidae with no antenatal care, initiating labor at home without skilled attendants.
  • High rates of shock, need for laparotomy, blood transfusion, intensive care, hysterectomy (46%), and urogenital fistula (5.8%) were observed.
  • Maternal mortality rate was 13.5%, and stillbirth rate was 94.2%.

Conclusions:

  • Unsafe obstetric practices, including injudicious use of oxytocic drugs and fundal pressure, were identified.
  • Significant delays in accessing emergency obstetric care for prolonged labor contribute to poor outcomes.
  • Recommendations focus on achievable improvements in obstetric care to reduce delays and improve outcomes for women with prolonged labor.