Sabeena Qadeer.
Management of Ruptured Uterus.
J Coll Physicians Surg Pak Jan ;9(4):190-2.

A total of 22 cases of ruptured uterus were admitted and managed in the Department of Gynaecology and Obstetrics in Bolan Medical College Quetta during the period between 1 st October 1992 - 30th September 1993. The aim of this study was to determine the occurence of this condition, the risk factors, the appropriate mode of management and to determine the maternal and foetal outcomes. During this period the occurence of uterine ruptures was 0.36% of total obstetric admissions and 0.44% of total deliveries. All the patients were nonbooked with no previous antenatal care. Most were illiterate and came from far flung areas of Baluchistan. The predisposing factors in our series included the injudicious use of oxytocin, cephalopelvic disproportion, dehiscence of previous scar and placenta acretta. 86.9% of the patients were treated by repair of the uterus with tubal ligation, 9.1% were treated by repair of the uterus without tuba] ligation and 4.5% by Caesarean hysterectomy. The maternal mortality rate was 2.1 % and perinatal mortality was 100%.

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