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TITLE:

CLINICAL APPEARANCE, PREDISPOSING FEATURES, MODALITIES AND FETOMATERNAL CONCLUSION AMONG PATIENTS WITH UTERINE RUPTURE

AUTHORS:

Dr Salwa Naeem, Dr Tasleem Akram, Dr Anam Sarfraz

ABSTRACT:

Objective: The objective is to find out the prompting features, various modes of appearance, modalities of management and feto-maternal conclusion in the patients with uterine rupture. Methodology: There was no need to take consent of the patients because it was a retrospective research work. In this research work, we carried out the retrospective analysis of sixty one gravid patients of uterine rupture from 2011 to 2018. SPSS V. 23 was in use for statistical analysis of collected information. Ethical committee of the institute gave the permission to conduct this research work. Results: The patients of older ages with high amount of previous pregnancies were present with long periods of stay in hospitals. The rate of prevalence of ruptured uteri measured as 0.1160%. Insistence for delivery through vagina after the CS (Cesarean Section) was the most common reason of the rupture of uterine among patients (31.10%). Most common coexistent pathology of obstetrics was ablatio placenta present in 4.90% patients. The most common symptom at the time of presentation was bleeding (44.30%). Most susceptible uterus part for rupture was the isthmus in 39.30% patients. There was very long duration of stay in the hospital, if there was long interval between surgical intervention and the incidence of rupture. Conclusion: Deliveries in the hospitals, thorough vigilance during labor and regular antenatal care with timely referral to the well-equipped heal care center may decrease the prevalence rate of this very complication. Hazardous risks are the conclusion of the gravid uterus’s rupture. KEY WORDS: Rupture, complication, CS, gravid, hazardous, uterine, ethical, delivery, pregnancy.

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