Journal of Postgraduate Medicine
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 ORIGINAL ARTICLE
Year : 1991  |  Volume : 37  |  Issue : 3  |  Page : 136-9

Rupture uterus: changing trends in etiology and management.


Department of Obstetrics and Gynaecology, L. T. M. G. Hospital, Sion, Bombay, Maharashtra.

Correspondence Address:
R S Nagarkatti
Department of Obstetrics and Gynaecology, L. T. M. G. Hospital, Sion, Bombay, Maharashtra.

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Source of Support: None, Conflict of Interest: None


PMID: 0001784024

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Sixty-four cases of rupture uterus which occurred during the period 1980-89 were studied and compared with 70 cases in the preceding decade (1970-79). The changing trends in etiological factors and management of this condition have been demonstrated. While spontaneous rupture continued to account for about two-thirds of the cases (70.3%), the incidence of traumatic rupture uterus has become less than half, from 17.1 to 7.8%, and that of scar rupture has increased to more than double (from 11.4 to 23.4%). As regards management, there are improved results seen with conservative repair of the uterus. It was also seen that a subtotal hysterectomy was more commonly resorted to than total hysterectomy in the later decade. There was a decrease in the overall morbidity from 42.8 to 35.9% and also in the mortality rate from 24.3 to 18.7%.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow