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Unscarred Uterine Rupture: A Retrospective Analysis

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Abstract

Introduction

Uterine rupture is a catastrophic obstetrical emergency associated with a significant feto-maternal morbidity and mortality. Many risk factors for uterine rupture, as well as a wide range of clinical presentations, have been identified.

Objectives

To analyze the frequency, predisposing factors, and maternal and fetal outcomes of uterine rupture.

Methods

A retrospective analysis of cases of unscarred uterine rupture was conducted at the Department of Obstetrics and Gynecology, RIMS, Imphal from June 1, 2010 to June 30, 2012.

Results

Our analysis comprised 13 cases. Of these, 30.8 % were booked cases. Most of the cases (46.2 %) were Para 2. Uterine rupture occurred at term in 10 cases. The rupture occurred due to mismanaged labor (30.8 %), the use of oxytocin (23 %), instrumental delivery (15.4 %), obstructed labor (15.4 %), induction by prostaglandin gel (7.7 %), and placenta percreta (7.7 %). Maternal deaths and perinatal deaths were 30.8 and 53.8 %, respectively. Sub-total hysterectomy was done in 8 cases and in 1 patient laparotomy with repair was performed.

Conclusion

Ruptured uterus causes a high risk in patients. An unscarred uterus can undergo rupture even without etiological or risk factors. The patients with mismanaged labor, grand multiparas, and obstructed prolonged labor must be managed by properly trained personnel at a tertiary care center in order to avoid the morbidity or mortality.

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Funding

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Authors and Affiliations

  1. Department of Obstetrics & Gynaecology, ESI-PGIMSR, ESIC & MC, Joka, Kolkata, India

    Manisha Vernekar & Roy Rajib

  2. c/o Dr Rajib Roy, Plot No 34/1, Pailan Park Housing Project, Pailan, Mouza Daulatpur, P.S-Bishnupur, Kolkata, 700104, India

    Manisha Vernekar

Authors
  1. Manisha Vernekar
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  2. Roy Rajib
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Corresponding author

Correspondence to Manisha Vernekar.

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Ethical clearance

For this type of study, formal consent is not required. This article does not contain any studies with human participants performed by any of the authors.

Conflict of interest

Manisha Vernekar and Rajib Roy declare that they have no conflict of interest.

Additional information

Manisha Vernekar is a Senior Resident; Roy Rajib is an Assistant Professor in the Department of Obstetrics & Gynaecology, ESI-PGIMSR, ESIC & MC, Kolkata, India.

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Vernekar, M., Rajib, R. Unscarred Uterine Rupture: A Retrospective Analysis. J Obstet Gynecol India 66 (Suppl 1), 51–54 (2016). https://doi.org/10.1007/s13224-015-0769-7

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  • DOI: https://doi.org/10.1007/s13224-015-0769-7

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