Rupture uterus: changing trends in etiology and management.
Sixty-four cases of rupture uterus which occurred during the period 1980-89 were studied and compared with 70 cases in the preceding decade (1970-79). The changing trends in etiological factors and management of this condition have been demonstrated. While spontaneous rupture continued to account for about two-thirds of the cases (70.3%), the incidence of traumatic rupture uterus has become less than half, from 17.1 to 7.8%, and that of scar rupture has increased to more than double (from 11.4 to 23.4%). As regards management, there are improved results seen with conservative repair of the uterus. It was also seen that a subtotal hysterectomy was more commonly resorted to than total hysterectomy in the later decade. There was a decrease in the overall morbidity from 42.8 to 35.9% and also in the mortality rate from 24.3 to 18.7%.
Nagarkatti
R S
RS
Department of Obstetrics and Gynaecology, L. T. M. G. Hospital, Sion, Bombay, Maharashtra.
Ambiye
V R
VR
Vaidya
P R
PR
D005260:Female; D006801:Humans; D007044:Hysterectomy; D011247:Pregnancy; D012189:Retrospective Studies; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery