Abstract

Introduction: Uterine rupture is a major obstetric hazard. It leads to high maternal and perinatal mortality-morbidity and loss of future fertility. Aims Objectives: The aim of this study was to calculate the incidence of rupture uterus and study its various aspects in the department of obs gynae at RIMS, Ranchi, Jharkhand, India. Material Methods: This was a retrospective study done in the department of obstetrics gynaecology during September 2017 to August 2018. Data was collected from the registers of labour room, labour OT and medical records department of RIMS, Ranchi. Total cases of rupture uterus cases during the study period were included in the study. There was no exclusion criteria. Incidence of rupture uterus per 1000 deliveries was calculated. Observation Result: In our study, the incidence of rupture uterus was 10 per 1000 deliveries. All 70 cases were unbooked, had rupture outside RIMS; 60 (85.7%) were referred case ,whereas 10 (14.37%) had no referral paper. 47 (67.1% ) had rupture of previous cs scar, others were non scarred uterus. 57 (81.4%) had rupture of lower uterine segment, whereas 13 (18.6%) had upper segment rupture. 11 (15.7%) had undergone repair of the uterus without tubectomy, 20 (28.6%) had repair with tubectomy. 29 (41.4%) underwent subtotal hysterectomy and total hysterectomy was done in 10 ( 14.3% ) patients .There were 4 maternal mortality cases out of 70 cases of rupture uterus. Fetal mortality was 97%. Only two babies were delivered alive.