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KMID : 0358419710140020033
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Korean Journal of Obstetrics and Gynecology
1971 Volume.14 No. 2 p.33 ~ p.40
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35 Cases of Uterine Rupture
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李義珍/Lee, Ey-Jin
柳妙信/鄭進成/金惠子/Yoo, Myo-Sin/Chung, Jin-Sung/Kim, Hea-Ja
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Abstract
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The gravid uterine rupture is one of the most serious and emergent problems in obstetric field.
The Authors observed 35 cases of the gravid uterine rupture treated during 10 years from January, 1960 to September 1969, studied on clinical statistical analyses and reviewed briefly literatures.
The reviewed results of 35 cases of uterine rupture were summarized as the follows: 1. The Incidence was 1 : 942 deliveries.
2. The age distribution was from 25 to 44 years of age and the mean age was 33 years of age.
3. The incidence in the parity, para I was the most frequent(12 cases), and other cases were mutipara except one case of primipara.
4. The distribution of gestational weeks was from 28 to 47 weeks. Most of all. cases were ruptured at normal ,full term period.
5. On the classification of uterine rupture, 15 cases were traumatic, 11 cases were rupture of previous cesarean section scar, 9 cases were spontaneous rupture.
6 The most important frequent symptoms of uterine rupture were lower abdominal pain, vaginal bleeding and shock.
7. The interval period from onset of labor to rupture were ranged from 2 hours to 5 days, the mean was 15 hours.
8. Complication were seen at 10 cases and most of them was wound infection.
9. In-the management of the uterine rupture, subtotal hysterectomy was performed in 16 cases(45. 7%), simple closure 10 cases(28. 6%) and total hysterectomy- 7 cases(20. 0%), others 2 cases(6%).
10. Maternal death rate was 14.3%(5 cases) and fetal death rate was 80.0%(28 cases).
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