Uterine rupture: a case study from a rural hospital in Chhattisgarh, India


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Abstract

IntroductionUterine rupture occurs when the uterine wall splits at some point that has become thinned or weakened and is unable to withstand the strain of further stretching or force of uterine contractions. This can occur anytime beyond the 28th week of pregnancy (Konar 2015). It is a disastrous, yet preventable event, that requires immediate medical attention.The causes of uterine ruptures are classified into three types: spontaneous; scar rupture; and iatrogenic. A list of the risk factors in spontaneous rupture of the uterus during delivery follows:Earlier damage to uterine walls followed by dilatation and curettage (D+C) procedureManual removal of placentaMultiparae woman with thin uterine wallsCongenital malformation of the uterusUteroplacental apoplexyObstructive labour.

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