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.
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