Related Experiment Video
Updated: Apr 9, 2026
05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
752
Uterine Rupture: Still a Harsh Reality!
Abha Singh1, Chandrashekhar Shrivastava1
1Department of Obstetrics & Gynecology, Pt. J.N.M. Medical College, E-8, Shankar Nagar, Raipur, India.
Journal of Obstetrics and Gynaecology of India
|June 19, 2015
Summary
Uterine rupture incidence is significantly higher in our region compared to developed countries, especially for women with prior Cesarean sections. Careful patient selection for labor trials and strict oxytocin use are recommended to reduce risks.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Public Health
Background:
- Uterine rupture is a critical obstetric emergency with significant maternal and fetal implications.
- Incidence and risk factors for uterine rupture can vary geographically and demographically.
Purpose of the Study:
- To determine the incidence, etiology, management, and outcomes of uterine rupture.
- To evaluate local trends and identify preventable measures for uterine rupture.
Main Methods:
- A prospective study conducted over 20 months (Jan 2012-Aug 2013) at Pt. J.N.M. Medical College Raipur.
- Inclusion of all women presenting with uterine rupture, with detailed history, assessment, intervention, and follow-up.
Main Results:
- Overall uterine rupture incidence was 0.35%, with higher rates in women with prior LSCS (1.69%) compared to those without (0.152%).
- Major risk factors identified: unbooked status (92.5%), injudicious oxytocin use (52.5%), and unjustified VBAC trials (44%).
- High rates of blood transfusion (92.5%) and perinatal mortality (85%) were observed, with a maternal mortality of 2.5%.
Conclusions:
- The risk of uterine rupture in this region is substantially higher than in developed countries, particularly for women with previous Cesarean sections.
- Recommendations include careful selection for trial of labor after Cesarean section, promoting institutional deliveries, and strict, indicated use of oxytocin as a prescription drug.
Keywords:
Cesarean sectionOxytocinTraditional birth attendant (TBA)Trial of labor (TOL)Uterine ruptureVaginal birth after cesarean (VBAC)More Related Videos
Related Concept Videos
01:16Uterine Tubes
3.7K
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...
3.7K
01:18Uterus and Cervix
7.6K
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...
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...
7.6K
01:18Menses Phase
1.5K
The uterine cycle begins with the menstrual phase, which is considered day one of the cycle and typically lasts about five days. This phase is characterized by the degeneration and shedding of the stratum functionalis, the functional layer of the endometrium.
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
1.5K
01:19Histology of the Uterus
4.7K
The uterine wall consists of three histological layers: the perimetrium, myometrium, and endometrium. The outermost perimetrium is a thin, serous membrane connected with the broad ligament on the sides, which helps anchor the uterus in the pelvic cavity. The thickest layer, myometrium, is mainly made up of smooth muscle tissue bundles. Its contractions are vital in facilitating the expulsion of the uterine lining, fetus, and placenta during menstruation and childbirth.
The endometrium is the...
The endometrium is the...
4.7K
01:22Esophageal Perforation-I: Introduction
796
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
796
01:27Ovarian Cycle
5.5K
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
5.5K