A TWO YEAR REVIEW OF UTERINE RUPTURE AT GYNAECOLOGY ‘A’ UNIT AYUB TEACHING HOSPITAL
AbstractBackground: Uterine rupture is a grave obstetrical problem, particularly in the developing world. Despite theimprovement in the obstetrical procedures such as classic caesarean section, internal version, total breech extractionetc. the incidence of rupture remains high. Mainly due to the use of oxytocic drugs by people not qualified for theiruse. Methods: We conducted a retrospective study of 27 proven cases of ruptured uterus in Gynae 'A: unit of AyubTeaching Hospital, between 1997-1998. These cases were analysed with regard to their clinical presentation, pasthistory', complications, management and outcome. Results: The incidence of uterine rupture was 1.14%. Thecommonest antecedent factor was use of oxytocic drugs by unskilled or semiskilled persons. The major clinicalpresentation was with symptoms suggestive of shock. Subtotal abdominal hysterectomy was performed in 62.9% ofcases. Repair of uterus with or without bilateral tubal ligation was done in 37.1% of cases. There were no maternaldeaths.
Pedowits, Paul and Perell. Amer. J. Obs and Gynae 1958; 76:
Federkow, Nimrod DM. Taylor CA. Ruptured uterus in
pregnancy a Canadian hospital experience. Ca. Med. Assoc. J.
; 137: 27-29.
Green E: Review of the treatment of ruptured uterus at Mulago
Hospital Kampala. East African Med. J. 1977; 45: 462-77.
Donaldl. Practical obstetric problems. Churchill Livingstone.
Ahmad S. J. Pak. Med. Assoc. 1973; 2: 223-30.
Rukh L. Pak. Med. Review 1972; 6:10-14.
Lynch JC, Pardy JP. Uterine rupture and scar dehiscence. A
live year study. Anaesth-Intensive-Care. 1996; 24(6):699-704.
Saglamtas M, Vicdan K. Yilmaz Z, Yesilyurti H, Gokmen O.
Rupture of the uterus. Ini. J. Gynaecol. Obstet. 1995; 49: 9-15.
Zorlu CG, Turan C, Isik, Danisman K, Mungan T, Gokmen G.
Emergency hysterectomy in modem obstetrics changing
clinical perspective in time. Acta Obstet Gynaecol Scand.
; 77: 186-90.
Onuora VC; Ariyan R-Al; Koko AH; Wahad ASA. Major
injuries to the urinary tract in association with child birth. East
Air. Med. J. 1997; 74: 523-26.
Chen LH; Tan KH; Yeo GS. A ten-year study of uterine
rupture in modem obstetric practice. Ann. Acad. Med.
Singapore. 1995; 24: 830-835
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.