Aim: The aim of our study, to evaluate the patients with complete
or incomplete uterine rupture which occurred during pregnancy retrospectively
and to analyze and present of the risk factors, maternal
and perinatal outcomes, and complications.
Method: Sixty one patients diagnosed as uterine rupture were investigated
retrospectively in our clinic between 1999 and 2009.
Result: The incidence of uterine rupture for our department in a ten
year period was calculated as 0.12 %. Fifty four patients (88.5%) were
in low socioeconomic status. Fifty one (83.6%) patients did not receive
any antenatal care. Forty eight (78.6%) of the cases had previous ute
rine surgery due to cesarean, myomectomy or metroplasty. Twenty
six cases (42.6%) were grand multiparous. Primer repair of uterus was
performed in 58 (95.1%) of the patients. Subtotal abdominal hyste
rectomy was performed in three patients (4.9%). There were 15 fetal
deaths while no maternal death was occurred.
Conclusion: Rupture of the pregnant uterus is a major obstetric comp
lication that occurs often with no warning signs. Uterine rupture is a
potential complication for patients with non-scarred uterus as well as
scarred uterus. Grand multiparty is a very important risk factor, especially
in patients without uterine scar. Despite to its low rate, uterine
rupture is a very important complication for mother and fetus. Early
diagnosis, immediate preoperative resuscitation, rapid replacement
of blood loss, and urge surgical therapy are very important in treatment
of uterine rupture. Hysterectomy is not the first choice in case
of uterine rupture management.