Rupture uterus incidence and management in a tertiary centre in Assam
Saswati Sanyal Choudhury, Bikash Choudhury, Gitanjali Deka
Objectives: The purpose of this study was to see the incidence of rupture uterus, the predisposing factors and the different modalities of management with outcome. Methodology: All patients of rupture uterus admitted during June 2011 to May 2012 were taken. The detailed history and clinical examination were done in a standard proforma. Results: Out of 14161 deliveries total number of cases of rupture uterus was 24 giving an incidence of 1 in 590 or 0.17%. Twenty two (91.66%) cases were unbooked and majority of them were para 1 (62.5%) and in age group of 26-30 yrs (45.83%). Post caesarean pregnancy was the dominant risk factors which was 41.66% followed by obstructed labour (29.16%). Injudicious use of oxytocics in multipara was responsible for 12.5% cases. Twelve cases had been repaired, 2 cases had been repaired with internal iliac artery ligation and 8 cases had undergone subtotal hysterectomy with internal iliac artery ligation. The outcome of all postoperative cases was satisfactory except one patient died due to septicaemia. Conclusion: Rupture uterus is still a problem in this region. Post caesarean pregnancy is the commonest risk factor followed by obstructed labour.