title: Analysis of uterine rupture cases in Agri: a five-year experience.
abstract: BACKGROUND
  We attempted to establish the frequency of uterine rupture and to address etiological factors, complications, management and maternal and perinatal outcome of complete versus incomplete rupture, with the aim of proposing preventive measures.
  
  
  METHODS
  The clinical records of uterine rupture cases managed at the Obstetrics and Gynecology Department of Agri Maternity and Children's Hospital in Turkey from June 2004 to June 2009 were analyzed retrospectively.
  
  
  RESULTS
  There were 44 cases of ruptured uterus. Among 24,554 deliveries the total incidence of uterine rupture was 1/558 or 17%. The most common site for the location of rupture was the fundal region (36.36%) followed by the lower segment, isthmic and mixewd types, respectively.
  
  
  CONCLUSIONS
  Prevention must necessarily include regular antenatal care and meticulous screening of high-risk patients. Improved organization and access to maternal care, decentralization of obstetric services into peripheral care units in villages to prevent home deliveries and good supervision during labor can reduce the incidence of this preventable obstetric catastrophe.
authors.affiliation: Agri Maternity and Chidren's Hospital, Agri, Turkey. emrahtoz@yahoo.com.tr
authors.forename: M
authors.initials: M
authors.lastname: Kara
authors.forename: E
authors.initials: E
authors.lastname: Töz
authors.forename: E
authors.initials: E
authors.lastname: Yilmaz
authors.forename: T
authors.initials: T
authors.lastname: Oge
authors.forename: I
authors.initials: I
authors.lastname: Avci
authors.forename: I
authors.initials: I
authors.lastname: Eminli
authors.forename: S
authors.initials: S
authors.lastname: Sentürk
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data; D015907:Hysteroscopy / Q000706:statistics & numerical data; D015994:Incidence; D007902:Length of Stay / Q000706:statistics & numerical data; D010120:Oxytocics / Q000008:administration & dosage; D011247:Pregnancy; D012189:Retrospective Studies; D014219:Trial of Labor; D014421:Turkey / Q000453:epidemiology; D014597:Uterine Rupture / Q000453:epidemiology* / Q000209:etiology* / Q000601:surgery
chemical_list: D010120:Oxytocics