Rupture of the uterus.
Fifty cases of uterine rupture were managed in 4 years giving a frequency of 1 per 89.9 deliveries. There was an obvious difference between those with a previously scarred uterus (34) vs those without a scar (16) cephalopelvic disproportion, grand multiparity and mismanagement of cases by traditional birth attendant (TBAs) were the common etiologic factors in the unscarred uterus, cephalopelvic disproportion, forceps delivery, grand multiparity and prolonged first stage of labour were the common etiologic factors in patients with previously scarred uterus. In the unscarred group both maternal and foetal (81.6%) mortality was high (JPMA 43: 174, 1993).
Khan
N H
NH
Department of Obstetric and Gynaecology, Dow Medical College and Civil Hospital, Karachi.
D000328:Adult; D005260:Female; D005313:Fetal Death; D006801:Humans; D010154:Pakistan; D011247:Pregnancy; D014597:Uterine Rupture / Q000453:epidemiology / Q000209:etiology