Evaluation of risk factors and different management forms of uterine rupture cases at Minia University Maternity hospital.(Prospective study) | ||||
Minia Journal of Medical Research | ||||
Volume 31, Issue 2, April 2020, Page 272-276 PDF (245.83 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.221060 | ||||
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Authors | ||||
Essam A. El-Gendy; Hany H. Kamel; Enas M. Mohamed; Essam M. Mousa Mohmamed | ||||
Department of Obstetrics and Gynecology, El- Minia Faculty of Medicine | ||||
Abstract | ||||
Introduction: Uterine rupture is one of the most serious obstetrical emergencies necessitating prompt diagnosis and management, as it en-dangers the maternal and fetal life. Aim of the work: The aim of the present study is to evaluate different risk factors for rupture of uterus in our community and reassess the different forms of management and their effect on maternal and fetal outcome. Patients& Methods: Setting: This study carried out at the Department of Obstetrics & Gynecology, Minia University Maternity Hospital, Minia , Egypt. Data collected from patients, data files and case notes of all patients of ruptured uterus managed at Minia University Maternity Hospital from January 2019 to December 2019 (1 year) after being approved by the department ethical committee. Results: A total of 10132 deliveries were conducted and 125 cases of ruptured uterus were managed at ER of Obstetrics & Gynecology, Mina University Maternity Hospital, during a (1) year period from January 2019 to December 2019. Thus the incidence of uterine rupture was 1.2/1000 deliveries. Conclusion: Ruptured uterus still remains one of the serious obstetric complications. This prospective observational study concluded that most common cause of rupture uterus was scarred uterus followed by vaginal birth after caesarian section (VBAC). A lot of the women had no antenatal check-up and/or were managed initially by untrained personnel. Thus, in most of the cases, uterine rupture is a preventable complication. Antenatal and intranatal care, identification of high risk cases and education of the people about supervised pregnancy and delivery will reduce the occurrence of uterine rupture. | ||||
Keywords | ||||
Uterine rupture; obstetrical emergencies; the maternal and fetal life | ||||
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