Abstract

Background: Uterine rupture and dehiscence usually occurs in patients who had previous delivery through cesarean section. There are certain complications involved due to rupture or dehiscence.

Methods: This cross sectional study was carried out in April 2019 in the department of obstetrics & gynecology teaching unit at Aziz Bhatti Shaheed teaching hospital, Gujrat. Total 59 deliveries were recruited for the study purpose in patients with previous 1 or more cesarean sections. The records of 59 patients of uterine rupture were retrieved from hospital record who were either admitted with uterine rupture or dehiscence or developed this complication after admission.

Results: The mean age of patients was 28.11±4.15years. There were 4(6.8%) booked while 55(93.2%) unbooked. Out of 59 patients, 56(94.9%) had spontaneous initiation of labour, bleeding occurs in 16(27.1%) cases. Out of 59 cases, 45(76%) had dehiscence while 14(24%) had uterine rupture, which was repaired with (13.6%) or without (83.1%) BTL while 3.4% had total hysterectomy.

Conclusion: The frequency of dehiscence was more common among females who had previous 1 or more cesarean sections and the outcome was better with operative management.

Keywords: dehiscence, uterine rupture, cesarean section, bleeding, maternal mortality