Tazeen Fatima Munim, Abbas Hussain S M, Erum Usman, Baquar Raza S M, Ayesha Rehman.
Ruptured Uterus: A three years study.
J Surg Pak Jan ;7(2):6-8.

A prospective observational study was carried out on all the patients admitted with ruptured uterus at Gynae unit III, Abbasi Shaheed Hospital, Karachi from January 1999 to December 2001 to study the prevalence, aetiology, management, maternal and foetal outcome of uterine rupture. Out of the total of 3036 deliveries during the study period, there were twenty three cases of ruptured uterus giving an incidence of 1 in 132 deliveries or 0.75%. Injudicious use of oxytocin, obstructed labour and previous caesarean scars (39.13%) were associated factors. Uterine rupture had significant association with low socioeconomic status, lack of antenatal care, high parity and maternal age more than 35 years. Anterior wall of the uterus was the commonest site affected (78.26%). Caesarean hysterectomy was done in 9 patients (39.13%) and in 9 (39.13%) repair of ruptured uterus with tubal ligation was done. In 2 patients (8.69%) repair without tubal ligation was carried out. Maternal mortality was 17.39% and perinatal mortality was 78.26%.

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