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Rupture of the uterus in full-term pregnancy
T J Hassan1, R Korejo, S N Jafarey
1Pakistan Medical Research Council, Research Centre, Jinnah Postgraduate Medical Centre, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|September 1, 1993
Summary
Uterine rupture occurred in 1 in 189 deliveries at Jinnah Postgraduate Medical Centre, primarily due to obstructed labor. This severe obstetric complication led to high maternal and fetal mortality rates.
Area of Science:
- Obstetrics and Gynecology
- Public Health
Background:
- Uterine rupture is a critical obstetric emergency with significant maternal and fetal implications.
- Understanding the incidence and causes of uterine rupture is vital for improving maternal and child outcomes.
Purpose of the Study:
- To determine the incidence rate of uterine rupture.
- To identify the primary causes of uterine rupture.
- To analyze the maternal and fetal mortality associated with uterine rupture.
Main Methods:
- Retrospective analysis of delivery data from Jinnah Postgraduate Medical Centre (JPMC).
- Data collected over a 7-year period (January 1986 to December 1992).
- Inclusion of 48,519 deliveries to identify cases of uterine rupture.
Main Results:
- A total of 257 cases of uterine rupture were identified, yielding an incidence of 1 in 189 deliveries.
- Obstructed labor was identified as the main etiological factor.
- Maternal mortality was 3.9% for admitted cases and fetal mortality was 88% for admitted cases, with 17.6% fetal mortality for rupture occurring within the hospital.
Conclusions:
- Uterine rupture, often caused by obstructed labor, presents a substantial risk in obstetric practice.
- The high rates of maternal and fetal mortality underscore the severity of this condition.
- Effective management of labor to prevent obstruction is crucial for reducing uterine rupture incidence and improving survival rates.