DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20181012

Unscarred uterine rupture: a retrospective analysis in tertiary center

Madhureema Verma, Radheshyam Bairwa

Abstract


Background: Uterine rupture is a catastrophic obstetrical emergency associated with a significant fetomaternal morbidity and mortality. Many risk factors for uterine rupture, as well as a wide range of clinical presentations have been identified. The objectives of the present study were to analyze the frequency, predisposing factors, maternal and fetal outcomes of unscarred uterine rupture.

Methods: A retrospective analysis of cases of unscarred uterine rupture was conducted at the Department of Obstetrics and Gynaecology Jhalawar medical college Jhalawar Rajasthan from January 2009 to December 2016.

Results: Our analysis comprised of 11 cases with unscarred uterine rupture. Incidence of unscarred uterine rupture is 0.01% or 1/10,000  deliveries.

Conclusions: In our study there was no history of uterine scarring so the main predisposing factor are maltiparity and obstructed labour. The grand multiparas women and obstructed labour must be managed by proper trained personnel and in tertiary care center in order to avoid the morbidity and mortality.


Keywords


Obstructed labour, Uterine rupture, Unscarred uterus

Full Text:

PDF

References


Suner S, Jagminas L, Peipert JF, Linakis J. Fatal spontaneous rupture of a gravid uterus: Case report and literature review of uterine rupture. J Emerg Med. 1996;14:181-5.

Ankelesaria BS, Savaliya MV. Rupture Uterus. In: Krishna U, Tank DK, Daftary S (eds). Pregnancy at Risk, Current concepts. 4th ed. New Delhi, Jaypee Brothers (p)Ltd; 2001:468-71.

Sakr R, Berkane N, Barranger E, Dubernard G, Darai E, Uzan S. Unscarred uterine rupture--case report and literature review. Clin Exp Obstet Gynecol. 2007;34(3):190-2.

Golan D, Aharoni A, Gonen R, Boss Y, Sharf M. Early spontaneous rupture of the post myomectomy gravid uterus. Int J Gynaecol Obstet. 1990;31:167-70.

Mavromatidis G, Karavas G, Margioula-Siarkou C, Petousis S. Spontaneous postpartum rupture of an intact uterus: a case report. J Med Clin Res. 2015;1:56-8.

Zwart JJ, Richters JM, Öry F, De Vries JI, Bloemenkamp KW, Van Roosmalen J. Uterine rupture in the Netherlands: a nationwide population‐based cohort study. BJOG: Int J Obstet Gynaecol. 2009;116:1069-80.

Ahmadi S, Nouira M, Bibi M, Boughuizane S, Saidi H, Chaib A, Khairi H. Uterine rupture of the unscarred uterus. About 28 cases. Gynecologie Obstetrique Fertilite. 2003;31:713-7.

Radhakrisknan G, Vaid NB, Agarwal N. Rupture uterus--changing Indian scenario. J Indian Med Assoc. 2001;99:634-7.

Golan A, Sandbank O, Rubin A. Rupture of pregnant uterus. Obstet Gynnecol Surv.Aprv.1980 56: 549-54.

Schrinsky DC, Benson RC. Rupture of the pregnant uterus: a review. Obstet Gynecol Surv. 1978;33:217-32.

Thisted DL, Mortensen LH, Krebs L. Uterine rupture without previous caesarean delivery: a population-based cohort study. Eur J Obstet Gynecol Reprod Biol. 2015;195:151-5.

Heckel S, Ohl J, Dellenbach P. Rupture of an unscarred uterus at full term after an intracervical application of dinoprostone (Prepidil) gel. Rev Fr Gynecol Obstet. 1993;88:162-4.

ANSM. Warning about the potential risk of f-lable use of Cytotec (mesoprostol) in triggering childbirth and other gynecological use. 2013:130225.

Mazzone MF, Woolever J. Uterine rupture in a patient with an unscarred uterus: a case study. WMJ-MADISON. 2006;105:64.

Nahum G. Uterine rupture in pregnancy. Medline. 2010;10. Available at https://reference.medscape.com/article/275854-overview