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Title: UTERINE RUPTURE: A RARE CASE STUDY AND IMPLICATIONS FOR MATERNAL-FOETAL HEALTH
e-poster Number: EP 482
Category: Maternal and Fetal Health
Author Name: Dr. Riddhi Soni
Institute: dr dy patil medical college
Co-Author Name:
Abstract :
Introduction:
Uterine rupture is a rare but catastrophic obstetric emergency involving a full-thickness tear in the uterine wall, posing significant risks of maternal haemorrhage, infection, and foetal demise without timely diagnosis and intervention.
Aims & Objectives:
To highlight the clinical presentation, diagnostic challenges, and management of uterine rupture in unregistered pregnancies, emphasizing the importance of antenatal care and timely surgical intervention to prevent maternal mortality and improve outcomes in resource-limited settings.
Case report:
A 35-year-old gravida 3, para 2 woman with a history of two full-term vaginal deliveries presented with abdominal pain, uterine tightening, and absence of foetal heart sounds. Clinical and ultrasound findings indicated intrauterine foetal demise and uterine rupture. Emergency laparotomy revealed extensive uterine rupture with hemoperitoneum and infection. Postoperative care included infection management, hemodynamic stabilization, and psychological support.Laparotomy confirmed bilateral uterine rupture into the broad ligament, hemoperitoneum, and foul-smelling fluid. Histopathology revealed acute endomyometritis, necrotizing cervicitis, and ischemic haemorrhagic changes. Despite surgical intervention, the foetus was demised. Maternal recovery was achieved with multidisciplinary care, focusing on infection control and stabilization.
Conclusions:
This case underscores the critical role of antenatal care, early diagnosis, and timely surgical management in uterine rupture cases. Community education and tailored public health strategies are essential for improving maternal and foetal outcomes, especially in resource-limited settings.
