A case series of uterine rupture: a continuing cause of maternal and fetal morbidity!

Authors

  • Vinu Choudhary Department of Obstetrics and Gynaecology, SMS College and Hospital, Jaipur, Rajasthan, India
  • Surendra Bisu Department of Obstetrics and Gynaecology, SMS College and Hospital, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20172775

Keywords:

Labour, Morbidity, Previous LSCS, Rupture uterus, Scar tenderness

Abstract

Background: Uterine rupture is defined as a full-thickness separation of the uterine wall and the overlying serosa. It is a rare peripartum complication associated with severe maternal and neonatal morbidity and mortality. The objective of this study was to review the incidence of ruptured uterus and evaluate associated risk factors, maternal and fetal complications.

Methods: 14 case notes were reviewed for every patient with a ruptured uterus for a period of 4 years, from January 2012 to December 2015.

Results: 79% patients had uterine rupture while in labour. Three patients were not in labour (two had a spontaneous rupture at 28/40 and 33/40 weeks respectively and for one patient it was found during an elective C/S). Two out of five patients with 2 previous C/S ruptured at 28 and 33 weeks respectively. Two or more C/S were associated with increased risk of pre- labour rupture uterus as highlighted by the three cases.

Conclusions: Challenging diagnosis and cases of pre- labour rupture may necessitate pre- pregnancy counselling and antenatal LUS thickness USS in certain cases.

Author Biography

Vinu Choudhary, Department of Obstetrics and Gynaecology, SMS College and Hospital, Jaipur, Rajasthan, India

Senior Resident

Dept. of Obstetrics & Gynaecology

SMS Medical College

Jaipur, Rajasthan

References

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Published

2017-06-22

Issue

Section

Original Research Articles