Socio-demographic and obstetric profile of Uterine rupture cases
Author(s): Dr. Sudha N, Dr. Amulya MN and Dr. Vijaya Harsoor
Abstract: In obstructed labor, as expulsive forces try in vain to expel the fetus, the patient becomes restless and complains of constant pain over the lower part of uterus while uterine contractions tend to become more and more tetanic. Patient is anxious and in agony, she is exhausted, the tongue is dry. Pulse becomes more rapid, temperature rise slightly. There is vertical stretching and thinning of lower uterine segment. The retraction ring of Bandl is now seen over the uterus above the symphysis running transversely across. The longer the duration of protracted labor, higher is the abdomen. Round ligaments are sometimes seen standing out on the uterus. Data collected from all the pregnant women being admitted for delivery at tertiary care hospital. This was a prospective study of all the pregnant patients are taken according to the inclusion criteria, detailed history including the name, age, address, contact number and history pertaining to the various factors associated with uterine rupture will be noted in the form of questionnaire. The presenting symptoms, signs, maternal outcome and fetal outcome and any associated complications will be duly noted. Necessary investigations and resuscitation are carried out before the surgery. In this study, the incidence of uterine rupture was high in multiparous women, of which 22 cases were para 1(62.9%), 10 cases were para 2 (28.6%), 1 case was para 3(2.9%) and 1 case was para 4(2.9%).
Pages: 110-113 | 1254 Views | 367 Downloads
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