Incidence, Risk Factors and consequences of Rupture of Unscarred Uterus: Experience in a Tertiary Referral Hospital
Publiée 2021-09-20
Mots-clés
- Uterine rupture,
- Unscarred uterus,
- Obstructed labour
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Résumé
Introduction: Uterine rupture is an uncommon but potentially fatal complication of pregnancy and labour. Objectives: The aim of this study is to identify the etiology of rupture of unscarred uterus & outcome of pregnancy. Materials & Methods: A retrospective study was carried out in Obstetrics and Gynaecology Department of Dhaka Medical college & Hospital over a period of two years. (July 2003 to June 2005). Results: There were 54 cases of rupture of unscarred uterus. The common aetiological factors of rupture were obstructed labour (68.51%), injudicious use of oxytocin (59.25%), mal-handling by dai (50%). Shock was a prominent presenting feature (46.29%). Subtotal hysterectomy was done in 66.66% cases. Common postoperative complications were paralytic ileus (35.29%), shock (19.60%), wound infection (9.86%). Maternal mortality was 12.96% & perinatal mortality was 100%. Conclusion: The incidence of rupture of unscarred uterus is still high in Bangladesh. High parity, illiteracy and ignorance coupled with inadequate maternity services, injudicious use of oxytocics were identified as risk factors for rupture of unscarred uterus. This type of rupture is a potentially devastating complication that threatens the life of the foetus and mother. Necessary steps can
reduce the incidence & outcome of rupture of unscarred uterus.
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