title: Uterine rupture revisited: Predisposing factors, clinical features, management and outcomes from a tertiary care center in Turkey.
abstract: OBJECTIVE
  To determine the predisposing factors, modes of clinical presentation, management modalities and fetomaternal outcomes of uterine rupture cases at a tertiary care center in Turkey.
  
  
  METHODS
  A 14-year retrospective analysis of 61 gravid (>20 weeks of gestation) uterine rupture cases between January 1998 to March 2012 was carried out.
  
  
  RESULTS
  The incidence of ruptured uteri was calculated to be 0.116%. Persistence for vaginal delivery after cesarean was the most common cause of uterine rupture (31.1%). Ablatio placenta was the most common co-existent obstetric pathology (4.9%). Bleeding was the main symptom at presentation (44.3%) and complete type of uterine rupture (93.4%) was more likely to occur. Isthmus was the most vulnerable part of uterus (39.3%) for rupture. The longer the interval between rupture and surgical intervention, the longer the duration of hospitalization was. Older patients with increased number of previous pregnancies were likely to have longer hospitalization periods.
  
  
  CONCLUSIONS
  Rupture of gravid uterus brings about potentially hazardous risks. Regular antenatal care, hospital deliveries and vigilance during labor with quick referral to a well-equipped center may reduce the incidence of this condition.
authors.affiliation: Abdulkadir Turgut, MD, Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey.
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Turgut
authors.affiliation: Ali Ozler, MD, Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Ozler
authors.affiliation: Mehmet Siddik Evsen, MD, Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Siddik Evsen
authors.affiliation: Hatice Ender Soydinc, MD, Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey.
authors.forename: Hatice
authors.initials: H
authors.lastname: Ender Soydinc
authors.affiliation: Neval Yaman Goruk, MD, Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey.
authors.forename: Neval
authors.initials: N
authors.lastname: Yaman Goruk
authors.affiliation: Talip Karacor, MD, Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey.
authors.forename: Talip
authors.initials: T
authors.lastname: Karacor
authors.affiliation: Talip Gul, MD, Department of Obstetrics and Gynecology, Dicle University School of Medicine, Diyarbakir, Turkey.
authors.forename: Talip
authors.initials: T
authors.lastname: Gul
keywords: Cesarean section; Perinatal outcome; Uterine rupture