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KMID : 0376119790060020069
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Medical Journal of the Red Cross Hospital
1979 Volume.6 No. 2 p.69 ~ p.78
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Rupture of uterus: a Report of 42 cases
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Abstract
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Uterine rupture; is one of the most formidable accidents that may occur in obstetric practice and often taxes the ability of even the most competent obstetrician. We had been experienced 42 cases of the uterine rupture from Oct. 1958 to mar. 1963, from Apr. 1968 to Sept. 1971 and from Jan. 1972 to Oct. 1979 in Seoul Red Cross Hospital. The results are summarized as follows.
1) The incidence of uterine rupture was 1 : 167 deliveries.
2) The age distribution was from 20 to 46 years of age and about 60% in 4th decade. According to parity, 20 of these 42 cases were over 4.
3) The other obstetric past histories except previous cesarean section were marked with numerous spontaneous abortion, difficult deliveries, deep ´cervical laceration and placenta percreta.
4)On the classification of. uterine rupture according to cause, there were 15, spontaneous ruptures with no previous surgery, 11 spontaneous ruptures with previous uterine surgery and 16 traumatic uterine rupture.
5) On the anatomical classification, complete uterine rupture were 11 of 17 uterine ruptures and incomplete were 6 of 17 cases.
6) On the gestational duration at uterine rupture, 28 of all 42 cases were ruptured at the: pregnancy at 38-42 Weeks.
7). On the duration. of labor at uterine rupture, 34 of all cases were less than 18 hours. 8) The places of uterine rupture were home(l4cases), local clinic(7cases), S.RC.H..(7 cases) and midwife (5 cases).
9) Laparotomy(19 of 32 cases) was performed within 6 hours after uterine, rupture.
10) The. most important symptoms were severe abdominal pain, shock, vaginal bleeding and abdominal distention. Hematuria were checked in 12 of 42 cases Hb. was over 8.0 Gin% in 16 of 17 cases(3 rd period).
11) Amount of the transfused blood were less. than. 7 pints in 14 of 17 cases(3 rd period).
12) According to the region of rupture, corpus was involved in 11 cases, corpus and lower uterine segment was involved in 5-cases, low uterine segment in 24 cases, lower uterine segment and upper vaginal wall in 20 cases.
13) Maternal death was 7 cases (17% , and prenatal death 40 cases (970o).
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