Journal of Developmental Medicine(Electronic Version)  2017, Vol. 5 Issue (4): 248-252 DOI: |
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| Analysis of 14 cases of uterine rupture during late pregnancy |
| SUN Yan, FU Yu-jing, ZHAI Jian-jun
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| Department of Gynaecology & Obstetrics, Beijing Tongren Hospital, Beijing 100176, China |
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Abstract Objective To explore the risk factors, diagnosis and treatment methods and preventive measures of uterine rupture. Methods From January 2009 to September 2016, 14 cases of pregnant women with uterine rupture in Obstetrics of Beijing Tongren Hospital were included. All the 14 cases were exactly diagnosed by surgery. Retrospective analysis was adopted and the basic situations of each patient were recorded, including age, gestational age of uterine rupture occurrence, gravidity, parity, history of surgery, signs and symptoms of uterine rupture occurrence. And uterine rupture, handling practices and perinatal outcomes were also recorded. Results The incidence of uterine rupture of our hospital was 0.11% (14/13 164) during the study period. 11 cases were scar uterine (78.6%, 11/14), of which 3 cases were after myomectomy, and 8 cases were after cesarean section. Clinical manifestations included: 1 case of lacerating pain, 8 cases of abdominal pain, 1 case of abdominal distention, 4 cases of no obvious symptoms. Fetal heart monitoring revealed: 3 cases of fetal heart stop, 6 cases of deceleration, 5 cases of normal fetal heart. The position of uterus rupture was 11 cases of lower uterus, 2 cases of uterine body and 1 case of bottom uterus. Three cases were incomplete uterus rupture and 11 cases were complete uterus rupture. One case was twin. Among 15 cases of perinatal infants, 3 cases were stillborn, 3 cases were severely asphyxia, 3 cases were mild asphyxia, and the other 6 cases of infants showed 9 points of 1 minute Apgar score. All the 14 cases of pregnant women were not infected and recovered well after operation. Conclusions Scarred uterus is the most common cause of uterine rupture. Suture technique of myomectomy should be improved. Indications of cesarean section should be controlled strictly. During induction, closely monitoring should be given. And the ability of diagnosis and treatment of uterine rupture should be enhanced.
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Received: 20 November 2016
Published: 24 January 2018
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