Analysis of uterine ruptures in Vysočina region in 5 years period

Czech version

Authors: A. Roztočil; P. Antonín; R. Petřík; F. Petrů; V. Žižlavský
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice Třebíč ; Gynekologicko-porodnické oddělení, Nemocnice Nové Město na Moravě ; Gynekologicko-porodnické oddělení, Nemocnice Havlíčkův Brod ; Gynekologicko-porodnické oddělení, Nemocnice Pelhřimov ; Gynekologicko-porodnické oddělení, Nemocnice Jihlava
Published in: Ceska Gynekol 2010; 75(5): 429-434

Overview

Objective:
To evaluate the number and circumstances of uterine ruptures in five years period from 2005 to 2009 in five regional departments of gynecology and obstetrics of Vysočina region. To describe the uterine ruprures in case reports and to compare them with literature datas.

Design:
Retrospective, multiceter, descriptive study.

Setting:
Jihlava, Havlíčkův Brod, Pelhřimov, Nové Město na Moravě and Třebíč departments of gynecology and obstetrics.

Methods:
Retrospective data collection, statistical evaluation, case description and the system leading to prevention of uterine ruptures.

Results:
In the evaluated period from 2005 to 2009 there were 25 195 deliveries in the 5 above mentioned departments of gynecology and obstetrics of Vysočina region. There were 4 440 (17,6%) C. sections performed, 20 postpartum hysterectomies and 6 uterine ruptures (1/4 200 deliveries). One case of uterine rupture was letal.

Conclusion:
The above mentioned results prove that the frequency of uterine ruptures in the Vysočina region (1/4 200) is lower than in US (1/ 1 519). Early diagnosis of uterine rupture is very often difficult, that may lead to the delay of adequate treatment.

Key words:
uterine rupture, postpartum hysterectomy, Caesarean section.

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