Objective: Uterine rupture is associated with both fetal and maternal clinical manifestations. Uterine rupture is one of the most dreaded complications of childbirth with potentially grave consequences to the mother and the fetus. Most of the complications and mortalities due to this can be prevented through measures like universal access to antenatal care, institutional deliveries and an effective system of referral. The aim of present study was to calculate prevalence of rupture uterus, to study the associated demographic factors and to analyze the various aspects of rupture uterus at our hospital.

Materials and Methods: A retrospective study was carried out to calculate the prevalence, to study the associated demographic factors and outcomes of rupture uterus. Analysis of cases of rupture uterus was done regarding relevant history, intra-operative findings and post operative morbidities and overall mortalities due to rupture uterus. The study was done  in Department of Obstetrics & Gynaecology at S. K. Medical College, Muzaffarpur, Bihar for study period of three years from January 2015 to December 2017.  Data regarding cases of rupture uterus was collected, analyzed and interpreted. 

Results: In our study, for the period of three years from January 2015 to December 2017, total of 27,034 deliveries were conducted. Amongst them 4,732 caesarean sections were performed. Total 35 cases diagnosed as rupture uterus. The prevalence of rupture uterus in our study is 2.5 in 2000 deliveries. Most of the cases were in the age group of 20-30 years (60%). 27 cases (77.14%) were unbooked cases. Most of the cases were of scar rupture (48.57%).

Conclusion: This study has shown higher value of prevalence of rupture uterus as most cases referred were in very critical situation and terminal status of illness. Early detection of high risk pregnancies can save a lot of maternal lives. Referral system should be sound and available round the clock at every level of health care delivery system.

Keywords: Hysterectomy, Referral system, Rupture uterus, Scar rupture.

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Amrita Pritam­­­­­­­­

Senior Resident, Dept of Obs & Gynae, Sri Krishna Medical College & Hospital, Muzaffarpur, Bihar