Uterine rupture in pregnancy: a five-year study

Abstract

The leading cause of uterine rupture was found to be neglected and obstructed labor due to mismanagement by local untrained birth attendants. Timely recognition and referral to higher centers can reduce the maternal and fetal morbidity and mortality due to uterine rupture.

Maternal and perinatal outcomes of rupture uterus at rural tertiary care institution: a retrospective study

“…This is similar to a Indian study done by Gupta A (0.17%). 6 However study by Sahu L have higher incidence (0.29%). 1 In developing countries like Nigeria and Pakistan, kathmandu the incidence is 0.83%, 1.6% and 0.09% respectively.…”

“…10 Anjali et al reported 70.17% cases in which uterine rent repair was done, 24.56% had subtotal, and 5.26% had total abdominal hysterectomy. 6 Turgut A et al had 34.4% cases with scar repair and total abdominal hysterectomy each, subtotal hysterectomy in his study was done in 31.1%. 15 Maternal mortality occurred in five cases (8.77%) which was more (3/5) in scarred uterus as compare to unscar one (2/5).…”

“…15 Contrary to our study Anjali et al and Padhey reported more rupture in unscarred uterus 64.9% and 60% respectively as most of their patient had interventions with uterotonics. 6,9 Higher parity is another risk factor for uterine rupture particularly in spontaneous rupture and induction cases. In our study 7% of the total cases were grand multipara and 91.2% were para 1 to 4.…”

Study of cases of rupture uterus in a tertiary institute and its maternal and perinatal outcome

“…Its incidence has gradually declined over the years, in our study it was 1 in 924 deliveries (0.11) which is comparable to an Indian study done by Gupta A (0.17%). 2 The majority ruptures were in 21-30 years age group (76.53%) and 19.12% rupture occurred in 31-40 years age (Table 1). Out of 46 cases of uterine rupture, 39 i.e.…”

Magnetic resonance imaging of sciatic nerve compression injury after epidural blockade

“…The prognosis in cases of neurological deficit after neuraxial blockade depends on whether there is axonotmesis (disruption of the myelin sheath, resulting in degeneration of the axon distal to the injury site) when recovery may take years, or only neuropraxia where recovery may be expected within three months; electromyography may be useful when formulating a prognosis. 2 Reassuringly, the 3rd National Audit Project highlighted that the incidence of serious complications after central neuraxial blockade in obstetric patients appears to be very low. 3 Shoulder-tip pain as an indicator of uterine rupture with a functioning epidural Uterine rupture in pregnancy is a rare and potentially catastrophic complication.…”