Islam Ansa, Shah Azmat Ali, Jadoon Humaira, Fawad Aneesa, Javed Maria, Abbasi Aziz-Un Nisa
Gynaecology Unit, Ayub Medical College & Ayub Teaching Hospital, Abbottabad, Pakistan.
J Ayub Med Coll Abbottabad. 2018 Oct-Dec;30(Suppl 1)(4):S639-S641.
Uterine rupture, an obstetrical emergency though rare but still has grave implications. Uterine rupture is the occurrence of breach in the wall of uterus. Complete rupture involves complete disruption of uterine wall resulting in spillage of uterine contents into the abdominal cavity whereas an incomplete rupture has intact peritoneum or serosa. The most commonly reported risk factor in developed countries is previous caesarean section whereas in developing countries neglected and obstructed labour are more frequently reported predisposing factors.
This was a cross sectional descriptive study which was carried out for a period of 2 years from January 2015 to December 2016 in Gynae "A" unit of Ayub Teaching Hospital Abbottabad.
In our study frequency of uterine rupture was 0.63%. Previous scar dehiscence was the most common risk factor for uterine rupture. Maternal mortality was 4% out of total 52 ruptured uterus, while 94.2% was perinatal mortality.
Although uterine rupture can be prevented but its frequency is still high. Therefore, proper antenatal care, health education, utilisation of health facilities is needed to reduce adverse outcome associated with this avoidable condition..
子宫破裂是一种产科急症，虽罕见但后果严重。子宫破裂是指子宫壁出现破裂。完全破裂涉及子宫壁的完全中断，导致子宫内容物溢入腹腔，而不完全破裂时腹膜或浆膜保持完整。在发达国家，最常报道的风险因素是既往剖宫产，而在发展中国家，忽视和梗阻性分娩更常被报道为诱发因素。
这是一项横断面描述性研究，于2015年1月至2016年12月在阿伯塔巴德阿尤布教学医院妇科“A”病房进行，为期2年。
在我们的研究中，子宫破裂的发生率为0.63%。既往瘢痕裂开是子宫破裂最常见的风险因素。在总共52例子宫破裂病例中，孕产妇死亡率为4%，围产儿死亡率为94.2%。
虽然子宫破裂可以预防，但其发生率仍然很高。因此，需要适当的产前护理、健康教育和卫生设施的利用，以减少与这种可避免情况相关的不良后果。
