Khanam R A, Khatun M
Dept of Obs & Gyn, Dhaka Medical College Hospital.
Bangladesh Med Res Counc Bull. 2001 Aug;27(2):43-7.
This study aimed to determine the frequency of ruptured uterus, possible aetiologic factors, foetomaternal out come and changes in obstetric care proposed to reduce this catastrophy. From September 1994 to September 1999 in Dhaka Medical College Hospital 39,782 deliveries occurred. All delivery records were reviewed and rupture uterus cases were identified. The result was compared with studies carried out in home and abroad. During the five years period among 39,782 deliveries 424 cases were of rupture uterus with a frequency of 1/93 deliveries. Eighty three percent rupture occurred in intact uterus and 17% occurred in uteri scarred by caesarian section. Common contributing factors were -prolonged/obstructed labour, grand multiparity, injudicious use of uterine stimulants, mismanaged labour by traditional birth attendant, delayed referral to well equipped centre, poor communication, poverty and ignorance.
本研究旨在确定子宫破裂的发生率、可能的病因、母婴结局以及为减少这一灾难而提出的产科护理变化。1994年9月至1999年9月，达卡医学院医院共发生39782例分娩。对所有分娩记录进行了审查，并确定了子宫破裂病例。将结果与国内外开展的研究进行了比较。在这五年期间，39782例分娩中有424例子宫破裂，发生率为1/93次分娩。83%的破裂发生在完整子宫，17%发生在剖宫产瘢痕子宫。常见的促成因素包括：产程延长/梗阻性分娩、多产、子宫收缩剂使用不当、传统助产士接生管理不当、延迟转诊至设备完善的中心、沟通不畅、贫困和无知。
