Uterine rupture revisited: Predisposing factors, clinical features, anagement and outcomes from a tertiary care center in Turkey. | [Pakistan Journal of Medical Sciences • 2013]

Author(s):

1. Abdulkadir Turgut: Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey

2. Ali Ozler: Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey

3. Mehmet Siddik Evsen: Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey

4. Hatice Ender Soydinc: Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey

5. Neval Yaman Goruk: Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey

6. Talip Karacor: Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey

7. Talip Gul: Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey

Abstract:

Objective: To determine the predisposing factors, modes of clinical presentation, management modalities and fetomaternal outcomes of uterine rupture cases at a tertiary care center in Turkey. Methodology: A 14-year retrospective analysis of 61 gravid ( >20 weeks of gestation) uterine rupture cases between January 1998 to March 2012 was carried out. Results: The incidence of ruptured uteri was calculated to be 0.116%. Persistence for vaginal delivery after cesarean was the most common cause of uterine rupture (31.1%). Ablatio placenta was the most common co-existent obstetric pathology (4.9%). Bleeding was the main symptom at presentation (44.3%) and complete type of uterine rupture (93.4%) was more likely to occur. Isthmus was the most vulnerable part of uterus (39.3%) for rupture. The longer the interval between rupture and surgical intervention, the longer the duration of hospitalization was. Older patients with increased number of previous pregnancies were likely to have longer hospitalization periods. Conclusion: Rupture of gravid uterus brings about potentially hazardous risks. Regular antenatal care, hospital deliveries and vigilance during labor with quick referral to a well-equipped center may reduce the incidence of this condition.

Page(s): 753-757

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 29, Issue: 3, Year: 2013

Keywords:

Keywords are not available for this article.

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views