Abstract
Objectives: To investigate the frequency of ruptured uterus, possible etiologic factors and fetomaternal outcomes. Methods: The birth records of 58 262 deliveries at Dr Zekai Tahir Burak Women's Hospital from 1 January 1990 to 31 December 1992 were reviewed and the results compared with those of two previous studies reported from this hospital on the same subject. Results: Forty uterine ruptures occurred between 1990 and 1992, with a frequency of 0.068% ( 1 1457 ). All occurred spontaneously but 10 (25%) had no previous surgery, whereas 30 followed previous cesarean section. There was no traumatic uterine rupture during this period. Fetal mortality was 32.5% and no maternal deaths were recorded. Conclusion: The rate of ruptured uterus has declined among our hospital population as etiologic factors responsible for the complication have been reduced.
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