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KMID : 0378119790060010056
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Chungnam Medical Journal
1979 Volume.6 No. 1 p.56 ~ p.63
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Rupture of the Uterus
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Abstract
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A clinical analysis of 23 cases of the uterine rupture observed at Chungnam National University Hospital from July 1974 to February 1979 was made.
The results are summerized as follows;
1. The incidence of uterine rupture was 1 to 94 deliveries.
2. Most of the cases(16 of 23 cases) were of parity 3 or more.
3. Types of the rupture were traumatic(12 cases), spontaneous of the intact uterus (8
cases) and previous cesarean section scar rupture (3 cases). All occurred during labor. 4. The mean gestational duration was 39.4 wks.
5. Most of the ruptures(15 of 23 cases) occurred at home delivery with or without midwife.
6. Site of the rupture was mostly(20 of 23 cases) lower uterine segment.
7. The maternal death occurred in one case (4.4°0) and perinatal death occurred in 21 cases(91.3%).
8. Types of management were total hysterectomy(14 cases), subtotal hysterectomy (8 cases) and in one case debridement & simple suture was done.
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