Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study

Aims:: To know the maternal and perinatal outcome in women with complete uterine rupture. Background: Uterine rupture is a catastrophic obstetric event associated with high maternal, perinatal morbidity, and mortality. Objective: The present study was conducted to know prevalence, risk factors, pres...

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Published in:Current Womens Health Reviews
Main Authors: Kumar, Naina, Yadav, Ashu
Format: Article in Journal/Newspaper
Language:English
Published: Bentham Science Publishers Ltd. 2021
Subjects:
Online Access:http://dx.doi.org/10.2174/1573404817999201230234732
https://eurekaselect.com/article/download/189674
https://www.eurekaselect.com/189674/article
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spelling crbenthamsciepub:10.2174/1573404817999201230234732 2023-09-05T13:22:57+02:00 Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study Kumar, Naina Yadav, Ashu 2021 http://dx.doi.org/10.2174/1573404817999201230234732 https://eurekaselect.com/article/download/189674 https://www.eurekaselect.com/189674/article en eng Bentham Science Publishers Ltd. Current Women s Health Reviews volume 17, issue 4, page 321-327 ISSN 1573-4048 Obstetrics and Gynecology journal-article 2021 crbenthamsciepub https://doi.org/10.2174/1573404817999201230234732 2023-08-11T15:39:29Z Aims:: To know the maternal and perinatal outcome in women with complete uterine rupture. Background: Uterine rupture is a catastrophic obstetric event associated with high maternal, perinatal morbidity, and mortality. Objective: The present study was conducted to know prevalence, risk factors, presentation, the maternal, perinatal outcome in women with complete uterine rupture. Methods:: Present retrospective observational study was conducted on 31 women admitted to the Obstetrics ward of the rural tertiary center of Northern India with complete uterine rupture between January 2016 and December 2018 after Institutional ethical committee approval and informed written consent from participants. Data included socio-demographic parameters, gestation, predisposing factors, clinical features, site of rupture, associated bladder injury, need for hysterectomy, perinatal, and maternal outcome. Statistical analysis was conducted using Statistical Package for the Social Sciences software version 22.0. Results:: Of the total of 9,156 deliveries during the study period, 31 women had a uterine rupture, indicating the prevalence of 0.34%. Of all 21(67.7%) women had an unscarred uterine rupture, and 10(32.3%) scarred uterine rupture. The majority cases were un-booked (77.4%), multiparous (90.3%), and term at gestation (66.7%), with an average age of all cases as 26.97±3.73 years. The most common risk factor was injudicious use of oxytocic (29.0%) and previous cesarean section scar (22.6%). The most common site of unscarred uterine rupture was the lower uterine segment (26.7%) and in the scarred uterus, the site of previous cesarean section (26.7%). Eight (25.8%) women had bladder injury. Total 24 (77.4%) fetuses were stillborn. Seventeen (54.8%) women needed hysterectomy as a lifesaving procedure, and three (9.7%) succumbed to death despite all resuscitative measures. Conclusion:: Hence, complete uterine rupture is common in rural areas and is serious obstetric emergency with high perinatal, maternal morbidity and mortality. ... Article in Journal/Newspaper SCAR Bentham Science Publishers (via Crossref) Current Womens Health Reviews 17
institution Open Polar
collection Bentham Science Publishers (via Crossref)
op_collection_id crbenthamsciepub
language English
topic Obstetrics and Gynecology
spellingShingle Obstetrics and Gynecology
Kumar, Naina
Yadav, Ashu
Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study
topic_facet Obstetrics and Gynecology
description Aims:: To know the maternal and perinatal outcome in women with complete uterine rupture. Background: Uterine rupture is a catastrophic obstetric event associated with high maternal, perinatal morbidity, and mortality. Objective: The present study was conducted to know prevalence, risk factors, presentation, the maternal, perinatal outcome in women with complete uterine rupture. Methods:: Present retrospective observational study was conducted on 31 women admitted to the Obstetrics ward of the rural tertiary center of Northern India with complete uterine rupture between January 2016 and December 2018 after Institutional ethical committee approval and informed written consent from participants. Data included socio-demographic parameters, gestation, predisposing factors, clinical features, site of rupture, associated bladder injury, need for hysterectomy, perinatal, and maternal outcome. Statistical analysis was conducted using Statistical Package for the Social Sciences software version 22.0. Results:: Of the total of 9,156 deliveries during the study period, 31 women had a uterine rupture, indicating the prevalence of 0.34%. Of all 21(67.7%) women had an unscarred uterine rupture, and 10(32.3%) scarred uterine rupture. The majority cases were un-booked (77.4%), multiparous (90.3%), and term at gestation (66.7%), with an average age of all cases as 26.97±3.73 years. The most common risk factor was injudicious use of oxytocic (29.0%) and previous cesarean section scar (22.6%). The most common site of unscarred uterine rupture was the lower uterine segment (26.7%) and in the scarred uterus, the site of previous cesarean section (26.7%). Eight (25.8%) women had bladder injury. Total 24 (77.4%) fetuses were stillborn. Seventeen (54.8%) women needed hysterectomy as a lifesaving procedure, and three (9.7%) succumbed to death despite all resuscitative measures. Conclusion:: Hence, complete uterine rupture is common in rural areas and is serious obstetric emergency with high perinatal, maternal morbidity and mortality. ...
format Article in Journal/Newspaper
author Kumar, Naina
Yadav, Ashu
author_facet Kumar, Naina
Yadav, Ashu
author_sort Kumar, Naina
title Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study
title_short Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study
title_full Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study
title_fullStr Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study
title_full_unstemmed Complete Uterine Rupture a Stigma for Modern Obstetrics: An Observational Study
title_sort complete uterine rupture a stigma for modern obstetrics: an observational study
publisher Bentham Science Publishers Ltd.
publishDate 2021
url http://dx.doi.org/10.2174/1573404817999201230234732
https://eurekaselect.com/article/download/189674
https://www.eurekaselect.com/189674/article
genre SCAR
genre_facet SCAR
op_source Current Women s Health Reviews
volume 17, issue 4, page 321-327
ISSN 1573-4048
op_doi https://doi.org/10.2174/1573404817999201230234732
container_title Current Womens Health Reviews
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