Uterine Rupture: an audit to analyze management options, maternal & fetal outcome

Uterine Rupture: an audit to analyze management options, maternal & fetal outcome


  • Alia Bashir
  • Razia Ashraf
  • Saima Shakoor
  • Fauzia Ali
  • Khaliqur Rehman
  • Arshad Chohan




Uterine Rupture. Obstetrics Department. Research Design. Research. Fetal Death. Pregnancy Outcome. Maternal Mortality. Pregnancy Complications. Dystocia.


Study Design: An analysis of 14 cases of ruptured uterus was done during January 2003 to December 2003 in Obstetrics & Gynae Department of Lahore General Hospital, Lahore. Objective: The purpose of this Audit was to analyse the different management options, maternal and fetal outcome in uterine rupture. Material and Methods: Total no of births in 2003 was 4840. Total number of ruptured uterus found to be 14 (2.9%/1000) deliveries. Among these incomplete rupture were 3 (21.4%) and complete rupture were 11 (78.4%). Regarding the common sites of uterine rupture lower uterine segment interior surface = 11 (78.4%). Lower uterine segment posterior surface = 2 (14.2%) and upper uterine segment rupture was = 1 (7.14%). The most common cause of uterine rupture was found to be multiparity and injudicious use of oxytocin by TBA in 5 cases. (35.7%) and previous uterine surgery in 5 cases (35.7%). 2 cases (14.21) were due to cephalopelvic disproportion due to hydrocephalus and 2 (14.2%) cases were of malpresentation (transverse lie) mostly handled at home by TBAs. Hysterectomy, total or sub total was done in 7 cases (50%). Repair of uterus was done in 5 cases (35.7%), in 2-cases (14.2%). Bladder repair alongwith uterine repair was done. In two cases (14.2%) of scar dehiscence, repeat cesarean section was done. The maternal mortality was found to be zero, while intrauterine death were 10(71.4%) and alive babies were 4 (28.5%) high perinatal mortality of 71% were found. Conclusion: Ruptured uterus is avoidable catastrophe by proper education, training of patients and TBA`s and by providing effective family planning services, transportation, diagnostic facilities and by reducing the unnecessary caesarean section.




How to Cite

Bashir, A., Ashraf, R., Shakoor, S., Ali, F., Rehman, K., & Chohan, A. (2016). Uterine Rupture: an audit to analyze management options, maternal & fetal outcome. Annals of King Edward Medical University, 11(1). https://doi.org/10.21649/akemu.v11i1.991



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