Abstract

VAZQUEZ, Amanda  and  HOSPITAL SAN PABLO. Resultados perinatales en pacientes complicadas con rotura uterina intraparto : Perinatal outcomes in patients complicated with uterine rupture in labor. Rev. Nac. (Itauguá) [online]. 2011, vol.3, n.1, pp.16-20. ISSN 2072-8174.

ABSTRACT Introduction: perforation of the uterine muscle that occurs in near-term pregnancy is a serious condition that determines acute fetal distress and / or death of the fetus, in addition, endangers the health of the patient.Objectives: To determine the prevalence of uterine rupture in patients in labor and find probable cause in relation to age and parity. Methodology: Observational, retrospective, transversal study, performed in pregnant women in labor who attended the Hospital Materno Infantil San Pablo, during the period January 2005 to December 2007. Results: Between 1094 patients tested, we found a prevalence of intrapartum uterine rupture of 4.11%. In relation to the clinical manifestations, 53.3% were asymptomatic. The most common treatment was hysterorrhaphy (88%). The most common gestational age in which the event occurred was between 37 to 40 weeks (55%). Most fetuses had had normal weight between 2500 and 3999 gr (95%). Conclusions: Uterine rupture had a prevalence of 4%. The majority of pregnancies was at term and in the minority of the cases were very early gestational age. The weight of the products was mostly range considered normal. It predominant cases of partial and incomplete rupture.

Keywords : Fetal membranes, premature rupture/ Pregnancy complications; Fetal membranes, premature rupture/therapy; Pregnancy Outcome; Paraguay.

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