Frequency of Uterine Rupture in Patients Undergoing VBAC

Abstract

All cases of ruptured uterus admitted through emergency or got ruptured during their stay in the hospital were included in the study. Age of patient, parity, predisposing factors, type of rupture was noted. Data was entered and analyzed using SPSS. About 8500 deliveries occur during the study period and there were 50 (0.6%) cases of ruptured uterus due to previous scar. Most of the patients i.e. 46% presented between 26-30 years .Majority of rupture occurred in para 1-2. Common cause of uterine rupture was previous uterine scar i.e. in 94% of cases. Anterior uterine wall was involved in 2% of cases. There were 48 (96%) IUDs and there was no maternal death. Uterine repair was done in 44 (88%) cases and Hysterectomy was done in 6(12%) cases. This study shows that uterine rupture occurs frequently in patients with previous one uterine scar.