Obstetric Uterine Rupture: A Four-Year Clinical Analysis

Abstract

Objective: The purpose of our study was to identify the risk factors of uterine rupture during labour, to report maternal and neonatal outcome, and to propose preventive measures. Study Design: A retrospective study with review of patients’ files and monitor strips was performed. Results: Between January 1, 1994 and November 30, 1998, there were 21 cases of uterine rupture at our institution. Of these, 6 patients had complete rupture, and 15 had incomplete rupture. The risk of uterine rupture was increased in patients who had a history of one or more Caesarean sections, obstructed labour, dysfunctional labour, and those who had injudicious use of uterine stimulants. There was no maternal death and fetal loss was 7 (33.3%). Conclusions: The high incidence of uterine rupture is attributed to lack of prenatal care, labour in high-risk patients outside hospital because of declining economy, and more patients with two or more previously scarred uterus. The maternal and neonatal complications have remained very high in the developing countries. We recommend that all patients with a history of Caesarean delivery should be delivered in hospital and observed closely for progression of labour, recognition of an active phase arrest requires operative delivery.

Jordanian women: Perceptions and practices of first‐time pregnancy

“…In Jordan, child‐bearing care is still located within the medical model and women are well‐attended medically in order to lower the statistics of maternal and infant mortality and morbidity rates 11,12 . Leininger, the founder of cross‐cultural nursing, pointed out recently that nursing care literature revealed no research related specifically to the Arab Muslim culture 13 .…”

Two‐ and three‐dimensional sonographic diagnosis of incomplete uterine scar rupture during pregnancy

“…In patients with previous Cesarean delivery, the incidence of defective scars (uterine rupture or dehiscence) has been reported to be 4–5%1–3 and the risk of uterine rupture has been reported to be 0.5–0.8%4. Ultrasonography has been used to examine the scarred uterus in women who have had previous Cesarean sections in an attempt to assess the risk of rupture of the scar during subsequent labor2–7.…”

Repair of an Extensive Tear of the Unscarred Uterus Resulting from Spontaneous Rupture

“…The perinatal mortality rate is higher with rupture of an unscarred uterus. 3 Besides, the highest fetal mortality was reported in cases with extrusion of the fetus into the abdominal cavity. 4 In our case, the infant died despite recognition of clinical signs and prompt surgical intervention.…”