دورية أكاديمية

Uterine rupture: a review of 34 cases at Ayub Teaching Hospital Abbottabad.

التفاصيل البيبلوغرافية
العنوان: Uterine rupture: a review of 34 cases at Ayub Teaching Hospital Abbottabad.
المؤلفون: Khan S; Department of Obstetrics & Gynecology, Ayub Teaching Hospital, Abbottabad, Pakistan., Parveen Z, Begum S, Alam I
المصدر: Journal of Ayub Medical College, Abbottabad : JAMC [J Ayub Med Coll Abbottabad] 2003 Oct-Dec; Vol. 15 (4), pp. 50-2.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Ayub Medical College Country of Publication: Pakistan NLM ID: 8910750 Publication Model: Print Cited Medium: Print ISSN: 1025-9589 (Print) Linking ISSN: 10259589 NLM ISO Abbreviation: J Ayub Med Coll Abbottabad Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Abbottabad : Ayub Medical College
مواضيع طبية MeSH: Uterine Rupture/*epidemiology, Adult ; Female ; Humans ; Incidence ; Midwifery ; Pakistan/epidemiology ; Pregnancy ; Uterine Rupture/etiology
مستخلص: Background: Uterine rupture is a deadly obstetrical emergency endangering the life of both mother and fetus. This descriptive study was conducted to determine the frequency of ruptured uterus at Ayub Teaching Hospital Abbottabad and to elicit possible causes/reasons of ruptured uterus.
Methods: The study was conducted at the department of Obstetrics & Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan over a period of one year from July 1st, 2001 to June 30th, 2002. All cases of uterine rupture presenting during the study period were recorded and managed in the department using a protocol prepared for the purpose of this study. Data was recorded on pre-designed Proforma.
Results: There were 34 cases of ruptured uterus out of a total of 3435 deliveries (including 1128 Caesarian sections) over a one-year time period (incidence of 1/100 deliveries) with 31 intra-partum deaths. The most common age group was from 31-35 years (16/34, 47%), followed by the 26-30 years age group (13/34, 38.2%). A majority (29/34, 85.3%) were cases of unscarred uterus presenting with rupture; the most common cause of rupture in all cases was inappropriate injections of Oxytocin (11/34, 32.35%), followed by obstructed labour (9/34, 26.5%). All were anemic and most of them were in shock.
Conclusion: The leading cause of ruptured uterus was found to be mismanagement by traditional birth attendants. We can reduce maternal mortality due to rupture uterus by giving proper training to traditional birth attendants and by mass education through electronic media.
تواريخ الأحداث: Date Created: 20040408 Date Completed: 20040504 Latest Revision: 20041117
رمز التحديث: 20221213
PMID: 15067834
قاعدة البيانات: MEDLINE