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ANALYSIS OF DIFFERENT RISK FACTORS FOR COMPLETE UTERINE RUPTURE IN PREGNANCY AMONG LOCAL FEMALE POPULATION OF LAHORE

Dr.Sahar Naeem, Dr.Waqas Ahmed, Dr.Mudassar Younas

Introduction: Complete uterine rupture is a rare peripartum complication, often associated with a catastrophic outcome for both mother and child. A scarred uterus, mostly because of a previous cesarean delivery (CD), substantially increases the risk of uterine rupture. Aims and objectives: The aim of this study is to analyze the risk factors for complete uterine rupture in pregnancy among local female population of Lahore. Methodology of the study: This study was conducted at Lahore during 2017 to 2018. In this study we find all the factors related to uterine rupture in females. The data were collected from 200 females who gave birth through CD and Vaginal delivery. Those who registered in the data set of hospital were included in this study. For each case we collected the following: maternal history, features of the pregnancy in labour, clinical signs and the method of diagnosing uterine rupture, fetal management, its subsequent course and the maternal outcome. Results: The data were collected from 500 female patients of the hospital. There were 13 complete ruptures (0.2 per 10,000) among nulliparous women after starting labor. Maternal characteristics are described in detail in Table 1. None of the women with uterine rupture had a diagnosis of endometriosis. None of the women had a story of uterine surgery. None of the women was nulliparous and two (29%) had more than two previous children (four and six). We noted an induction of labour for 71% of cases. Conclusion: It is concluded that the risk for complete uterine rupture increases with sequential labor induction with prostaglandins and oxytocin and with oxytocin use during labor. These factors included the presence of severe postpartum hemorrhage, maternal age 35 years, and an interdelivery interval labor or by a CD performed at a preterm gestational age.

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