Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 13 , ISSUE 5 ( September-October, 2021 ) > List of Articles

RESEARCH ARTICLE

Frequency, Predisposing Factors, and Fetomaternal Outcomes of Uterine Rupture

Rahila Imtiaz, Syed Hassan Ahmed Rizvi, Syed Hussain Ahmed Rizvi

Keywords : Cesarean section, Maternal death, Perinatal outcome

Citation Information : Imtiaz R, Rizvi SH, Rizvi SH. Frequency, Predisposing Factors, and Fetomaternal Outcomes of Uterine Rupture. J South Asian Feder Obs Gynae 2021; 13 (5):316-318.

DOI: 10.5005/jp-journals-10006-1951

License: CC BY-NC 4.0

Published Online: 22-12-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim: To assess the frequency of uterine rupture and its associated fetomaternal outcomes. Methods: This retrospective study was conducted at the Department of Obstetrics and Gynecology, Unit 1, Abbasi Shaheed Hospital from January 2019 to December 2019. Women with ruptured uterus diagnosed prior to or during surgery at the hospital were included. Those who had ruptured uterus secondary to congenital abnormality were excluded. Data were analyzed using SPSS version 16.0. Results: There were 1,054 deliveries during the year 2019 and rupture was diagnosed in nine cases (0.8%). Two women with rupture were booked and the rest were un-booked. Neglected obstructed labor was the major cause of ruptured uteri, while 44.44% cases had previous cesarean section scar. With respect to site, 66.66% of cases had ruptured anterior wall. Rupture was complete in 77.7% of cases. Hysterectomy was performed in 44.44%. Two maternal and seven intrauterine deaths (77.78%) took place in this study. Live birth rate was 22.22%. Conclusion: Our study proved that neglected prolonged labor is still claiming maternal lives in the region. Antenatal care should be made more accessible and training should be provided to traditional birth attendants to recognize and refer such cases. Clinical significance: Traditional birth attendants need to be supervised and trained to use oxytocin. Women should be advised strictly to deliver in hospitals after a cesarean birth.


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  1. Walsh CA, Baxi LV. Rupture of the primigravid uterus: a review of literature. Obstet Gynaecol Surv 2007;62(5):327–334. DOI: 10.1097/01.ogx.0000261643.11301.56.
  2. Tesema GA, Worku MG, Teshale AB. Duration of birth interval and its predictors among reproductive-age women in Ethiopia: Gompertz gamma shared frailty modeling. PLoS One 2021;16(2):e0247091. DOI: 10.1371/journal.pone.0247091. PMID: 33606724.
  3. Uzun I, Yildirim A, Kalelioglu I, et al. Spontaneous rupture of unscarred uterus at 27 weeks of gestation. Arch Gynaecol Obstet 2010;281(6);999–1001.
  4. McLaren R Jr, London V, Stein JL, et al. Adverse outcomes in early term versus full-term deliveries among higher-order cesarean births. J Matern Fetal Neonatal Med 2021;1–6. DOI: 10.1080/14767058.2021.1882985.
  5. Xiao J, Zhang C, Zhang Y, et al. Ultrasonic manifestations and clinical analysis of 25 uterine rupture cases. J Obstet Gynaecol Res 2021. DOI: 10.1111/jog.14666. PMID: 33470027.
  6. Jongen VH, Halfwerk MG, Bauwer WK. Vaginal delivery after previous cesarean section for failure of second stage of labor. Br J Obstet Gynaecol 1998;105(10):1079–1081. DOI: 10.1111/j.1471-0528.1998.tb09939.x.
  7. Malik HS. Frequency, predisposing factors and fetomaternal outcome in uterine rupture. J Coll Physicians Surg Pak 2006;16(7):472–475. PMID: 16827959.
  8. Walsh CA, O'Sullivian RJ, Foley ME. Unexplained prelabour uterine rupture in a term primigravida. Obstet Gynaecol 2006;108 (3 Pt 2):725–727. DOI: 10.1097/01.AOG.0000195065.38149.11.
  9. Bujold E, Gauthier RJ. Neonatal morbidity associated with uterine rupture: what are the risk factors? Am J Obstet Gynaecol 2002;186(2):311–314. DOI: 10.1067/mob.2002.119923.
  10. Yap OW, Kim ES, Laros RK Jr. Maternal and neonatal outcome after uterine rupture in labour. Am J Obstet Gynaecol 2001;184(7): 1576–1581. DOI: 10.1067/mob.2001.114855.
  11. Khan S, Parveen Z, Begum S, et al. Uterine rupture: a review of 34 cases at Ayub Teaching Hospital Abbottabad. J Ayub Med Coll Abottabad 2003;15(4):50–52. PMID: 15067834.
  12. Ekpo EE. Uterine rupture as seen in the University of Calaber Teaching Hospital, Nigeria: a five-year review. J Obstet Gynaecol 2000;20(2):154–156. DOI: 10.1080/01443610062922.
  13. Zwart JJ, Ricter JM, Ory F, et al. Uterine rupture in the Netherlands: a nation wide population-based cohort study. BJOG 2009;116(8): 1069–1078. DOI: 10.1111/j.1471-0528.2009.02136.x.
  14. Lawson JB, Harrison KA, Berbstorm S. Obstructed labour and its consequences. In: Maternity care in developing countries. RCOG Press; 2001. p. 201–214.
  15. Eze JN, Ibekwe PC. Uterine rupture at a secondary hospital in Afikpo, southeast Nigeria. Singapore Med J 2010;51(6):506–511. PMID: 20658112.
  16. Gul A. Rupture of previously scarred uterus. Ann King Edward Med Coll 2004;10:473–475. Available from: https://annalskemu.org/journal/index.php/annals/article/view/1270/981
  17. Rashmi, Radhakrisknan G, Vaid NB, et al. Ruptured uterus changing Indian scenario. J Indian Med Assoc 2001;99(11):634–637. PMID: 12022205.
  18. Ahmed SM, Daffalla SE. Incidence of uterine rupture in teaching hospital, Sudan. Saudi Med J 2001;22(9):757–761. PMID: 11590446.
  19. Fatima N. Rupture of uterus at term. J Coll Physicians Surg Pak 1998;8(3):137–139.
  20. Ofir K, Sheiner E, Levy A, et al. Uterine rupture: differences between a scarred and an unscarred uterus. Am J Obstet Gynecol 2004;191(2):425–429. DOI: 10.1016/j.ajog.2004.01.026.
  21. Ezegwui HU, Nwogu-Ikojo EE. Trends in uterine rupture in Enugu, Nigeria. J Obstet Gynaecol 2005;25(3):260–262. DOI: 10.1080/01443610500060768.
  22. Ogunnnowo T, Oylayemi O, Aimakhu CO. Uterine rupture: UCH, Ibadan experience. West Afr J Med 2003;22(3):236–239. DOI: 10.4314/wajm.v22i3.27957.
  23. Adanu RM, Obed SA. Ruptured uterus; a seven-year review of cases form Accra, Ghana. J Obstet Gynecol Can 2003;25(3):225–230. DOI: 10.1016/s1701-2163(16)30110-4.
  24. Islam A, Shah AA, Jadoon H, et al. A two-year analysis of uterine rupture in pregnancy. J Ayub Med Coll Abbottabad 2018;30(Suppl. 1)(4):S639–S641. PMID: 30838822.
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