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CLINICAL PRESENTATION, PREDISPOSING FACTORS, MANAGEMENT MODALITIES AND FETO-MATERNAL OUTCOMES AMONG PATIENTS WITH UTERINE RUPTURE

Dr Ahmad ur Rehman, Dr Abdul Basit, Dr Muhammad Usman Iqbal

Objective: This research work aimed to find out the prompting factors, various modes of presentation, modalities of management and feto-maternal outcomes in the patients with uterine rupture. Methodology: In this research work, we carried out the retrospective analysis of sixty one gravid patients of uterine rupture from 2010 to 2019. 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. There was no need to take consent of the patients because it was a retrospective research work. Results: 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. The patients of older ages with high amount of previous pregnancies were present with long periods of stay in hospitals. Conclusion: Hazardous risks are the outcomes of the gravid uterus’s rupture. 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. Key Words: CS, uterine, rupture, complication, ethical, delivery, pregnancy, gravid, hazardous.