IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-8-26455 Original Research Paper Determinants of rupture of the unscarred uterus and the related feto-maternal outcome Sharma Dr. Sachit sharma Dr. August 2020 9 8 01 02 ABSTRACT

Objectives – To determine the predisposing factors explaining the appearance of uterine rupture on unscarred gravid uterus and to value the maternal and fetal prognosis of this complication. Material and methods. – This was a retrospective study of 16 cases of uterine rupture on unscarred gravid uterus, recorded between January 2015 and December 2019, at the department of obstetrics and gynecology, SMGS jammu Results: Our analysis comprised of 16 cases with unscarred uterine rupture. The predisposing factors were: Multiparity (>4) 37.5%, Prolong Labour 37.5%, Use of oxytocin 56.25%, Instrumental delivery 12.5%, Misoprostol use 25%, Birth weight (>4kg) 25%, Obstructed labour 12.5%. Uterine rupture most common occurred in second stage of labour. Fetal mortality was 54.25% and maternal mortality was 12.5%. Conclusion Uterine rupture in the unscarred uterus remains an exceptional serious uterine complication which causes high maternal and fetal morbidity and mortality