Rupture uterus during pregnancy: a five year study in tertiary care level in bastar chattisgarh

AIM: To study the Uterine Rupture during pregnancy, its incidence, risk factors, maternal and fetal outcome in tertiary level care Bastar, Chattisgarh {Late Baliram kashyp Memorial Medical College, Jagdalpur, Bastar, Chattisgarh} Objectives: The primary objective of this study is to study Rupture Uterus during pregnancy its incidence, risk factors, maternal and fetal outcome in tertiary level care Bastar (Chhattisgarh). Materials and Methods: This is a hospital based ,retrospective, reproductive-age mortality study (RAMOS) of patients of Bastar region, Chattisgarh, that were admitted and managed in Obstetrics and Gynecology There were total 152 (n=152) cases. Out of 152 (n=152), 140 (n=140) were of tribal women and remaining 12 (n=12) were Non-Tribal women. Results: Amongst total 152 (n=152) cases, Out of total 152 (n=152) cases, 140 (n=140) were of Tribal women and remaining (n=12) were of Non-Tribal women. There were 18 (27.36%) cases were due to Rupture Uterus. All 18 (27.36%) Rupture Uterus cases were Tribal women from remote areas. There was no case of Rupture Uterus among Non-Tribal women. The total number of uterine rupture cases was 18 out of 32824 deliveries. The incidence of uterine rupture was 1 in 1823 deliveries. It shows that there has been considerable decline in Maternal mortality due to Rupture Uterus. In this study it is found that no (no) cases of maternal mortality due to Rupture Uterus has been recorded after December 2011. Majority cases belonged to 30 – 32 age group. were of 28-29 age group, 01 case of 23 years of age. Majority cases were Multigravida. Maximum 08 (44.44%) cases were of Multigravida, 05 (27.77%) cases were of Grandmultigravida, then 4, (22.22%) cases were of Primigravida, and 1 of Greatgrandmultigravida (9th Gravida). 02 (11.11%) cases were educated up to 04 standard rest 16 (88.88%) were illiterate. Their monthly income was between Rs.1200 to Rs.2500 per month. 10 (55.55%) cases were Labor and 8 (44.44%) were Farmers. All cases were tribal women of low socioeconomic status. All 18 (100%) were handled before admission into tertiary level care. 07 (38.88%) cases were due to Obstructed Labor. 11 (61.11%) cases were due to Uterine trauma caused by uterine manipulation by untrained dais. All cases were unbooked. No Antenatal checkup was carried in all 18 (100%) cases. All 18 (100%) cases were anemic. 13 cases (72.22%) were admitted in shock and rest 05 (27.77%) cases were admitted in very poor General Condition. 10 (55.55%) cases were referred …