Table-II.
Details regarding the etiology and management of uterine rupture
| No. of cases | % | ||
|---|---|---|---|
| Causes | Persistence for vaginal delivery after CS | 19 | 31.1 |
| Cephalopelvic disproportion | 11 | 18 | |
| Prolonged course of labour | 8 | 13.1 | |
| Injudicious use of uterotonics | 7 | 11.5 | |
| Malpresentation | 5 | 8.3 | |
| Application of external force (Kristeller maneuver) | 4 | 6.6 | |
| Partum precipitates | 1 | 1.6 | |
| External abdominal trauma | 1 | 1.6 | |
| Unknown | 5 | 8.2 | |
| Symptom | Vaginal bleeding | 27 | 44.3 |
| Hemodynamic instability | 18 | 29.5 | |
| Fetal distress | 7 | 11.5 | |
| Abdominal pain | 6 | 9.8 | |
| Site of rupture | Isthmus | 24 | 39.3 |
| Previous CS line | 19 | 31.1 | |
| Uterine horn | 18 | 29.6 | |
| Type of intervention | TAH | 21 | 34.4 |
| Suture repair | 21 | 34.4 | |
| SAH | 19 | 31.1 |
(Abbreviations: TAH= total abdominal hysterectomy, SAH= subtotal abdominal hysterectomy.)