Incomplete rupture of scarred uterus apropos of 30 cases

Abstract

Objective The purpose of our study was to identify the risk factors of incomplete rupture of scarred uterus during labour, to report maternal outcome, and to propose preventive measures, Meythods Between october 2000 and october 2007, there were 670 cases of scarred uterus at our institution, 30 patients had Incomplete uterine rupture. Results Of these, incomplete rupture had happened during classical uterine-incision delivery was 22.00% and during new-style uterine-incision delivery was 3.06%. in the second uterine-incision delivery was 2.76% and in the fist uterine-incision delivery was 15.56%, with infected incision was 27.14% and no infected incision was 1.83%, time between two operations 2 years was 2.03%, caesarean section was 3.57% and attempts at vaginal delivery was 9.09%. Conclusion We recommend that all patients with a history of caesarean delivery should be delivered in hospital and observed closely for progression of labour, recognition of an active phase arrest requires operative delivery.We can select patients for attempts at vaginal delivery and they show that it is necessary to test the ability of the fetus to pass through the pelvis after looking very carefully at the partogram made for the previous caesarean operation. Key words: Scarred uterus; Incomplete rupture