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Updated: Jun 16, 2026

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Uterine rupture in pregnancy: a five-year study.

Anjali Gupta1, Smiti Nanda

  • 1Department of Obstetrics and Gynaecology, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, 1109/16, Opposite Model School, Delhi Road, Rohtak, 124001 Haryana, India. ajiii2003@yahoo.co.in

Archives of Gynecology and Obstetrics
|January 29, 2010
PubMed
Summary

Uterine rupture is rare but dangerous, often caused by neglected labor. Early detection and transfer to specialized centers can significantly improve outcomes for mothers and babies.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Surgical Obstetrics

Background:

  • Uterine rupture during pregnancy is a rare but severe obstetric emergency.
  • It is associated with high rates of maternal and fetal morbidity and mortality.

Purpose of the Study:

  • To investigate the incidence and risk factors of uterine rupture.
  • To analyze maternal and fetal outcomes associated with uterine rupture.

Main Methods:

  • A retrospective study was conducted over a 5-year period (2002-2006).
  • Data from 57 cases of uterine rupture managed at a tertiary healthcare center were analyzed.

Main Results:

  • The incidence of uterine rupture was 0.17% (57/33,394 deliveries).

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  • Obstructed/neglected labor (52.63%) and scar rupture (35.08%) were the primary causes.
  • Stillbirth occurred in 94.74% of cases; however, no maternal mortality was recorded.

    • Conclusions:

    • Neglected and obstructed labor, often due to mismanagement by untrained attendants, is the leading cause of uterine rupture.
    • Prompt recognition and referral to higher-level facilities are crucial for reducing adverse maternal and fetal outcomes.