Noreen Saleem.
Rupture of Uterus.
Mother & Child Jan ;35(3):99-103.

To find out the prevalence and aetiology of ruptured uterus, a prospective study was conducted in Obstetric Unit-I of Sir Ganga Ram Hospital, Lahore from 1st July 1993 to 30th June 1995. During the period, 9416 deliveries were conducted, out of which 28 had rupture of uterus giving a prevalence of 1 per 336 deliveries. More than half of the patients were below 30 years of age and 85.7% were Gravida 5 or less. Only 21.42% of the patients had antenatal care. Among cases of ruptured uterus, 67.5% of the patients had rupture of a scarred uterus, whereas obstructed labour was the cause in 17.85% of the patients. Repair with bilateral tubal ligation was done in 53.57% of the patients, 35.71% had repair without tubal ligation and hysterectomy was done in only 10.72% of the patients No maternal death occurred in these patients. The overall perinatal case fatality rate was 53.5%.

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