A 10-year population-based study of uterine rupture

Kieser, Katharina; Baskett, Thomas F.

doi:10.1016/s0029-7844(02)02161-0

Cited by 99 publications

(78 citation statements)

References 17 publications

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“…Multiparity was found to be the strongest risk factor for ruptured uterus followed by scarred or unscarred status of the uterus. Th is fi nding was in accordance with previous work (Kieser and Baskett 2002). Th ere was one case of rupture of rudimentary horn during the study period, which was managed by laparotomy and excision of the horn.…”

Section: Discussionsupporting

confidence: 89%

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A review of 93 cases of ruptured uterus over a period of 2 years in a tertiary care hospital in South India

Veena

Habeebullah

Chaturvedula

2012

Journal of Obstetrics and Gynaecology

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This was a retrospective descriptive study carried out on cases in JIPMER between July 2008 and June 2010 among 32,080 deliveries. The study sample included 93 women who had a ruptured uterus. Outcome variables included maternal characteristics, risk factors, management and complications of ruptured uterus. The incidence of ruptured uterus was 0.28%. Most of these women were multiparous (95%), between 20 and 30 years (82%). The majority had a scarred uterus (77%) and 83% were at term gestation. Among women with a scarred uterus, 57 women (79%) had an unknown uterine scar type and 46 women (64%) had < 18 months' duration from the last caesarean section. A total of 37 women (39.7%) presented with ruptured uterus and a dead fetus. Out of 71 women with previous caesarean section, 46 women (49.4%) were allowed trial of scar and developed a ruptured uterus in hospital. Among women with unscarred uterus, 14 presented with rupture and seven of these women were induced in hospital. Out of the 93 cases, 87% were managed with uterine repair and 12 women underwent hysterectomy. A total of 31 babies were born with good Apgar scores; 48 babies were stillborn. We conclude that the strongest association of ruptured uterus was with previous scarred uterus, multiparity and < 18 months' duration from the last caesarean section. There were no maternal deaths. Maternal morbidity was seen in 17% of cases. Perinatal mortality was 60.6%. As a result of the study, we have implemented changes to improve patients' care.

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Section: Discussionsupporting

confidence: 89%

“…Another study found that one of 18 patients (6%) who developed complete uterine rupture required hysterectomy (Kieser and Baskett 2002). In our study, 12.9% of women required hysterectomy, which is slightly higher.…”

Section: Discussioncontrasting

confidence: 49%

A review of 93 cases of ruptured uterus over a period of 2 years in a tertiary care hospital in South India

Veena

Habeebullah

Chaturvedula

2012

Journal of Obstetrics and Gynaecology

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“…Spontaneous rupture of the uterus is an uncommon condition occurring mainly in elderly postmenopausal females and results when natural drainage of the uterine cavity is compromised. But documented finding in pregnant women and also the occurrence of spontaneous uterus rupture in a nongravid woman are much rarer [5, 6]. …”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Pyometra in a Nonpregnant Young Woman

Mostafa-Gharabaghi

Bordbar

Vazifekhah

et al. 2017

Case Reports in Obstetrics and Gynecology

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A 40-year-old woman presented with severe vaginal bleeding. Initial workup with an abdominal sonography revealed endometrium for about 3 mm and free fluid in the abdomen. Hemodynamic instability with abdominal pain and free fluid in the abdomen prompted blood transfusion and laparotomy. There were about 1000 cc blood and clots in the abdomen at laparotomy. There was a longitudinal rupture from fundus up to cervix at the left side of the uterus. Tearing was in full thickness from serosa to endometrium. Scar of previous cesarean was transvers and not associated with this tearing. There was not any myomectomy scar.

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“…Although there are case reports of silent uterine rupture in literature but to our best of knowledge, silent uterine rupture with chronic presentation (history of 20 days of off and on leaking and bleeding per vagina and finding of fetus in piecemeal in paracolic gutter) is unusual. Rupture uterus is one of the most dreaded complications in obstetrical practice (5,6) and may lead to maternal death if not diagnosed and treated in time. The cases of ruptured uterus are mostly emergency admissions.…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Silent Uterine Rupture: A Case Report

Verma

2016

Zahedan J Res Med Sci

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Uterine rupture is a major obstetric hazard. It may lead to significant maternal morbidity and mortality, which depends proportionally upon delay in diagnosis, transport facilities and availability of blood. Rupture uterus may be seen in both scarred and unscarred uterus but more commonly in scarred uterus. Usually post rupture patient goes into shock but here we present here a case of 35 years old multigravida woman who had silent rupture of scarred uterus. Incidence, causes and treatment part of uterine rupture is discussed here.

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A 10-year population-based study of uterine rupture

Abstract: In 92% of cases, uterine rupture was associated with previous cesarean delivery. Uterine dehiscence was associated with minimal maternal and perinatal morbidity. In contrast, complete uterine rupture was associated with significantly more maternal blood transfusion and neonatal asphyxia.

Cited by 99 publications

References 17 publications

A review of 93 cases of ruptured uterus over a period of 2 years in a tertiary care hospital in South India

A review of 93 cases of ruptured uterus over a period of 2 years in a tertiary care hospital in South India

Spontaneous Rupture of Pyometra in a Nonpregnant Young Woman

Unusual Presentation of Silent Uterine Rupture: A Case Report

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