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KMID : 0358419720150050205
Korean Journal of Obstetrics and Gynecology
1972 Volume.15 No. 5 p.205 ~ p.212
Rupture of Uterus A Report of 25 Cases
¹èº´ÁÖ/Bai BJ
¹Ú¼º°ü/ÀÌÃá½Ä/ÀÓÁ¾¸í/Park SK/Lee CS/Lim JM
Abstract
This report is consisted of 25 cases of the uterine rupture from Oct. 1958 to MRA. 1963 and from Apr. 1968 to Sep. 1971 in Seoul Red Cross Hospital. The results are summarized as follows. 1. The incidence was 1:115 deliveries 2. The age distribution was from 23 to 44 years of age and mostly in 4th decade. According to the parity, 14 of these 25 cases were over 4. 3. On the classification of uterine rupture, 13 cases were spontaneous during labor, 8 cases were traumatic durig labor, 4 cases were rupture of previous cesarean section scar during pregnancy and labor. 4. The mean gestational duration was 39.0 weeks and most of all cases were ruptured at full term period. 5. Duration of labor of rupture during labor were average 13.0 hrs. and the interval p0eriod from rupture to laparotomy were ranged from 2 hrs. to 3 months. 6. The most important symptoms were lower abdominal pain, shock and vaginal bleeding. Among the 15 cases in 2nd. period 12 cases revealed that the Hb. level was ranged from 7.0 gm% to 10 gm% and the mean amount of transfusion was 6.7 pints. 7. According to the site of rupture, the lower uterine segment was involved in 20 cases and the corpus was in 5 cases. Intreatment, subterectomy was performed in 17 cases, total hysterec- tomy was in 7 cases, others in 2 cases. 8. The maternal death was 5 cases (20%) and perinatal death was 100%.
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