A Three Year Review of Uterine Rupture in Tertiary Hospital: Lessons for Obstetric Care.

Autor: Rajora, Parveen, Rajpal, Amanjot
Předmět:
Zdroj: Indian Journal of Public Health Research & Development; Apr2018, Vol. 9 Issue 4, p307-311, 5p
Abstrakt: Background: Uterine rupture is a potentially catastrophic event during child birth leading to maternal and fetal mortality and morbidity. This disaster can be preventable, still in India it accounts for 5-10% of all maternal deaths. Aim: Our aim was to analyze the cases of rupture uterus with the objective to propose preventive measures. Method: It is a three year retrospective analysis of uterine rupture cases recorded from 1st June 2010 to 31st May 2013 in Guru Gobind Singh Medical College and Hospital Faridkot. Results: A total of 28 cases of rupture uterus were recorded among 2722 deliveries making the incidence of 10.29 per 1000 deliveries. We found close association of previous caesarean section 75%, injudicious use of oxytocin 35.71%, grand multiparity 35.71% and obstructed labour 25% with ruptue uteri. Repair was done in 60.71% and hysterectomy was done in 39.28% of cases. Neonatal outcome was nil in complete rupture. Common maternal complications faced were shock, sepsis and bladder trauma. Conclusion: We just need to upgrade our health system starting from the level of TBA and dai's creating more awareness among pregnant ladies especially with previous caesarean section. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index