Study of clinical profile of rupture uterus at tertiary care centre

Objective: To study the demographic risk factors, sites, types, clinical features, management of rupture uterus and to study the maternal & fetal outcome and to make a strategy for prevention of this catastrophe. Method: This study was carried out in Jan 2008 to Jan 2009 at Mahila Chikitsalaya, SMS Medical College, Jaipur. 70 cases of rupture uterus were taken and analysed during 1 year. They were examined after proper history and informed consent, beyond 28 wks of gestation. Patients were dealt according to general condition, parity, presence or absence of sepsis. Maternal and fetal outcome in the form of morbidity and mortality was recorded. Results: Out of 70 cases studied majority of patients (n = 38) had h/o previous LSCS with no prior vaginal delivery. Maximum number of cases were diagnosed during pregnancy 67.14% cases and out of 70 cases, 40% cases presented with fetal distress or IUFD followed by maternal tachycardia in 32.86% and scar tenderness in 30% cases. Maternal morbidity was mainly due to anaemia 51.43% followed by sepsis in 20% cases. Fetal morbidity and mortality is maximum in form of still birth 44.29%. Conclusion: Rupture uterus is a most devastating catastrophe with high incidence and mortality. It is potentially preventable by early and prompt diagnosis, effective treatment and public education and awareness.