Uterine rupture is one of the major obstetric complication leading to grave sequelae in both mother and fetus. The major causes of uterine rupture in developing countries are obstetric and non-obstetrics such as multiparity, teenage pregnancy, socioeconomic status, previous caesarean section scar, unsupervised labor and unjustified use of uterotonic agent; previous caesarean section is the major risk factor for rupture of uterus.
Materials and Method: Prospective observational study was conducted over period of one year from January 2019 to December 2019 at department of Obstetrics and Gynecology unit of Government Medical College Hospital, Ambikapur, and Chhattisgarh. Total number of deliveries conducted during this period was 5107.All cases of ruptured uterus who were either admitted with or who developed this complication in this hospital, were included in the study.
Result: We have studied total 12 patients who presented with ruptured uterus over a time span of one year. Around 66.6% of patients belonged to 21- 30 years of age whereas 33.33% were between 31 to 40 years of age.75% were second Gravida while 25% were second or third Gravida. Around 83.33% presented with vaginal bleeding, palpable fetal parts and tachycardia while 66.6% had abdominal pain and tenderness. 66.6% had hypotension, out of which 16.66% had shock.50% presented with absent uterine contraction. Eight (66.66%) out of twelve women had a history of handling by a traditional birth attendant. Risks with one previous caesarean section were 8(66.7%) whereas previous two caesarean section were 2(16.7%). Unscarred uterine ruptures were 2(16.6%).25% underwent scar repair with tubal ligation while 50% had scar repair without tubal ligation. One woman had ruptured urinary bladder also and thus repair was done along with scar. One woman (8.3%) had subtotal hysterectomy and one (8.3%) subtotal hysterectomy with bladder repair. There was total abdominal hysterectomy in one patient.
Conclusion: Ruptured uterus is a preventable phenomenon, proper antenatal checkup and prompt actions are required to prevent major disaster.