Abstract
1.1. The clinical data of sixty-four deaths from rupture of the uterus are presented; twenty-seven were spontaneous and thirty-seven were the result of trauma.2.2. In all but three cases, rupture took place in the lower segment of the uterus. The role of cervical scarring in the etiology of rupture is emphasized.3.3. Internal version is the most frequent cause and should be recognized as an extremely hazardous procedure under certain unfavorable conditions.4.4. That strong fundal pressure can rupture a uterus is shown by three cases in this series.5.5. Four deaths occurred from the use of pituitary extract during the first stage of labor. Despite this, the judicious use of minute doses in carefully selected cases of uterine inertia is advised.6.6. The diagnosis of rupture of the uterus is often not made sufficiently early for survival of the patient. Routine exploration of the uterus after traumatic vaginal procedures is indicated, especially if shock is present.7.7. The essence of adequate treatment for complete rupture of the uterus is prompt massive blood transfusion and hysterectomy. Shock is no contraindication to operation.
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