title: Current concepts of management of rupture of the gravid uterus.
abstract: Fifteen cases are reported of spontaneous rupture of the gravid uterus occurring at the Naval Regional Medical Center (NRMC), Portsmouth, Virginia, over a 21-year period. Forty-seven percent of the patients had previously undergone a cesarean section. Thirteen percent of the patients had received oxytocin prior to the rupture. Fetal mortality associated with these ruptures was 13%. No maternal deaths occurred. Forty percent of the patients had repair of the defect, with 60% undergoing some type of hysterectomy. Preventive measures, early diagnosis, and prompt treatment are emphasized.
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D005313:Fetal Death; D006801:Humans; D007231:Infant, Newborn; D007751:Labor, Induced / Q000009:adverse effects; D008428:Maternal Mortality; D010121:Oxytocin / Q000009:adverse effects; D011247:Pregnancy; D014597:Uterine Rupture / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery*; D014768:Virginia
chemical_list: D010121:Oxytocin