Related Experiment Video
Updated: Jan 6, 2026
Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Uterine rupture in pregnancy over 5 years: A retrospective descriptive study
António De Pinho1,2, Francisco Martins Dos Santos3, Olímpia Carmo2
1Department of Gynaecology-Obstetrics and Paediatrics, Faculty of Medicine, University of Porto, Portugal.
Background:
Uterine rupture is a rare but serious complication in obstetrics, associated with maternal and fetal risks. This study evaluates its prevalence and outcomes in a Portuguese hospital.
Objectives:
To assess the prevalence of uterine rupture in pregnancy, as well as the associated maternal and neonatal morbidity and mortality, in a hospital setting in Portugal.
Design:
A retrospective descriptive study was conducted.
Methods:
Retrospective review of complete uterine rupture cases (2019-2024) at the Local Health Unit of Tâmega e Sousa. Data included maternal characteristics, obstetric history and outcomes.
Results:
Among 10,447 deliveries, 13 cases of uterine rupture occurred (12.44/10,000), primarily in women with prior caesarean sections (84.6%). Abnormal cardiotocography (76.9%) and abdominal pain (23.1%) were common signs. Fetal extrusion occurred in 69.2%. No maternal deaths were recorded, but perinatal mortality was 7.7%. Post-partum haemorrhage affected 61.5%, with five transfusions required.
Conclusion:
The prevalence of uterine rupture aligns with rates in developed countries. Caution is advised when using oxytocin in women with prior caesareans. Prompt detection and intervention are crucial to minimize complications.
