Abstract

SummarySummaryThe incidences of ruptured uterus were 0.24 per cent in patients with previous myomectomy scars and 4.1 per cent in those with previous primary caesarean section scars. Misuse of oxytocin in a patient with obstructed labour resulted in the only uterine rupture in the former group. Of the 17 uterine ruptures in the group with primary caesarean section scars, one occurred antenatally at 34 weeks gestation in a patient with a classical scar, and the 16 others occurred during labour: 11 of those resulted from obstructed labour and five of these patients were grandmultiparae. In six of these ruptures, the babies were macrosomic. Six uterine ruptures (35 per cent) were in classical scars while one each occurred in patients with an inverted T-incision; J-shaped incision and with an assisted breech delivery. Eleven, two and one ruptures, respectively, occurred in patients whose primary caesarean section were performed because of either obstructed labour, before 34 weeks of pregnancy or electively. I...

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