Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study
INTRODUCTION: Rupture uterus is an obstetric catastrophe with poor maternal and fetal outcome. The objective of the study is to determine the prevalence of rupture uterus in pregnancy. METHODS: This was a descriptive cross sectional study conducted in a tertiary care centre from January 2016 to Dece...
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ftpubmed:oai:pubmedcentral.nih.gov:8369591 2023-05-15T18:15:18+02:00 Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study Chudal, Deepa Shrestha, Sebak Shrestha, Ruby Paudel, Vikash 2021-04 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369591/ https://doi.org/10.31729/jnma.5894 en eng Journal of the Nepal Medical Association http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369591/ http://dx.doi.org/10.31729/jnma.5894 © The Author(s) 2018. https://creativecommons.org/licenses/by/4.0/This is an Open-Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. CC-BY JNMA J Nepal Med Assoc Original Article Text 2021 ftpubmed https://doi.org/10.31729/jnma.5894 2021-08-29T00:31:45Z INTRODUCTION: Rupture uterus is an obstetric catastrophe with poor maternal and fetal outcome. The objective of the study is to determine the prevalence of rupture uterus in pregnancy. METHODS: This was a descriptive cross sectional study conducted in a tertiary care centre from January 2016 to December 2016 after taking ethical approval (Approval No. F-NMC-510/ 76/ 77) from Institutional Review Committee. Convenience sampling method was used. Data were entered in the Microsoft Excel sheet and obtained data was analysed using Statistical Package for Social Sciences version 18 software for central tendency and frequencies. RESULTS: Out of total 1559 deliveries, prevalence of rupture uterus was found to be 12 (0.77%). Previous lower segment caesarean scar rupture was the most common risk factor noted in 7 (58.3%) cases. A total of seven patients (58.3%) required intensive care unit admission and blood transfusion. Other maternal complications were surgical site infection 2 (16.67%), sepsis 2 (16.67%), paralytic ileus 1 (8.3%), pelvic collection 1 (8.3%) and vesico vaginal fistula 1 (8.3%). Two maternal deaths (16.67%) and perinatal death was noted in 8 (66.66 % ) cases. CONCLUSIONS: Rupture uterus most commonly occurred in scarred uterus. Identification of high risk pregnancy, judicious caesarean section, proper labor monitoring, early diagnosis and prompt management are essential in reducing its occurrences. Text SCAR PubMed Central (PMC) Journal of Nepal Medical Association 59 236 |
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Original Article Chudal, Deepa Shrestha, Sebak Shrestha, Ruby Paudel, Vikash Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
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Original Article |
description |
INTRODUCTION: Rupture uterus is an obstetric catastrophe with poor maternal and fetal outcome. The objective of the study is to determine the prevalence of rupture uterus in pregnancy. METHODS: This was a descriptive cross sectional study conducted in a tertiary care centre from January 2016 to December 2016 after taking ethical approval (Approval No. F-NMC-510/ 76/ 77) from Institutional Review Committee. Convenience sampling method was used. Data were entered in the Microsoft Excel sheet and obtained data was analysed using Statistical Package for Social Sciences version 18 software for central tendency and frequencies. RESULTS: Out of total 1559 deliveries, prevalence of rupture uterus was found to be 12 (0.77%). Previous lower segment caesarean scar rupture was the most common risk factor noted in 7 (58.3%) cases. A total of seven patients (58.3%) required intensive care unit admission and blood transfusion. Other maternal complications were surgical site infection 2 (16.67%), sepsis 2 (16.67%), paralytic ileus 1 (8.3%), pelvic collection 1 (8.3%) and vesico vaginal fistula 1 (8.3%). Two maternal deaths (16.67%) and perinatal death was noted in 8 (66.66 % ) cases. CONCLUSIONS: Rupture uterus most commonly occurred in scarred uterus. Identification of high risk pregnancy, judicious caesarean section, proper labor monitoring, early diagnosis and prompt management are essential in reducing its occurrences. |
format |
Text |
author |
Chudal, Deepa Shrestha, Sebak Shrestha, Ruby Paudel, Vikash |
author_facet |
Chudal, Deepa Shrestha, Sebak Shrestha, Ruby Paudel, Vikash |
author_sort |
Chudal, Deepa |
title |
Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_short |
Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_full |
Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_fullStr |
Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_full_unstemmed |
Rupture Uterus in a Tertiary Care Centre: A Descriptive Cross-sectional Study |
title_sort |
rupture uterus in a tertiary care centre: a descriptive cross-sectional study |
publisher |
Journal of the Nepal Medical Association |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369591/ https://doi.org/10.31729/jnma.5894 |
genre |
SCAR |
genre_facet |
SCAR |
op_source |
JNMA J Nepal Med Assoc |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369591/ http://dx.doi.org/10.31729/jnma.5894 |
op_rights |
© The Author(s) 2018. https://creativecommons.org/licenses/by/4.0/This is an Open-Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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CC-BY |
op_doi |
https://doi.org/10.31729/jnma.5894 |
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Journal of Nepal Medical Association |
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59 |
container_issue |
236 |
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1766188406393536512 |