Hina Ilyas, Safia Parveen.
Risk Factors and Outcome in patients with Ruptured Uterus in Sahiwal Teaching Hospital, Sahiwal.
Esculapio J Services Inst Med Sci Jan ;15(2):111-4.

Objectives: To determine the risk factors and feto-maternal outcomes among patients with ruptured uterus. Methods: The study design opted for the present research was observational retrospective, where the mothers who delivered in the hospital were assessed for various demographic characteristics, indications, high risk factors. Maternal and fetal outcome were noted. The records were retrieved from June 2015 to Dec 2017 by using hospital records system. The exclusion criteria include all women with renal failure, past surgical history of heart disease. Women who deliver at hospital at or after 25 weeks of gestational age and experienced uterine rupture or went for hysterectomy at the time of delivery or afterward within the defined period of puerperium were included in the study. Results: The data of 78 mothers were retrieved from the hospital record system. The mean age of the women was 39.85+4.99 with range 20-46. 54 (69.23%) of the mothers were in the age category of 20 to 30, 23 (29.48%) were 31-40 years of age and 1 (1.29%) was of above 40 years of age. The average gestational age was 35.42 weeks.70 (89.74%) of the deliveries were spontaneous and complete. The major causes of uterine rupture were, 57(73.07%) previous scar, 4(5.12%) Previous scar + Feto-pelvic disproportion, 3 (3.84%) with Previous scar + mal-presentation, 7(8.9%) Previous scar + oxytocic and 2 (2.56.28%) Mal-presentation. The average number of blood transfusion was 3.79. Conclusion: We may conclude that feto-maternal outcomes like vaginal bleeding, palpable parts, and perinatal mortality were obvious among women with uterine rupture. Other probable risk factor may include previous scar history, multiparity, mal-presentation, feto-pelvic disproportion and hysterectomy.

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