A CASE-SERIES STUDY TO ASSESS FETO-MATERNAL MORTALITY RATE AND ITS ASSOCIATION WITH THE INCIDENCE OF RUPTURED UTERUS IN PREGNANT WOMEN

OBJECTIVE: The objective of our research was the determination of feto-maternal outcomes frequency in the patients of the ruptured gravid uterus. Methodology: Our case series research was carried out at Sir Ganga Ram Hospital, Lahore in the timeframe of February 2017 to November 2017 on 120 patients of ruptured uterus (vaginal bleeding, abdominal pain, hypotension and fetal bradycardia respectively as (Blood Pressure < 90/60 mmHg) and (heart rate above 100 beats/minute). It is in actual a tear which is diagnosed through laparotomy in the gravid wall: gestational age more than 20 weeks, The age bracket of the patients was from 20 – 45 years. We did not include all the patients who presented a history of antepartum haemorrhage, eclampsia/ preeclampsia and placenta previa. A senior gynaecologist was detailed for the departmental management of the patients. Until delivery, a continuous electronic monitoring was also continued and outcomes such as the death of the fetus were also documented. Wound infection was measured for maternal outcomes. It was categorized as pus after one week of surgical intervention and death whether within the management period or at any later stage. Results: Research sample consisted of 120 patients with an age distribution such as 78 patients in the age bracket of 20 – 30 years (65%), 42 patients in the age bracket of 31 – 45 years (35%) and Mean ± SD was (27.96 ± 7.11) years. According to the distribution of parity 39 cases were of parity 1 – 3 (32.5%) and 81 cases had a parity more than 3 (67.5%). Feto-maternal outcomes were also observed as 23 cases of wound infection (19.17%), 11 cases of maternal mortality (9.17%) and 68 fetal mortality cases (56.67%). Conclusion: Fetal mortality rate was high in the cases with a ruptured gravid uterus who visited the healthcare facilities in order to seek proper disease management. Keywords: Feto-maternal Outcome, Ruptured Gravid Uterus, Wound Infection, Fetal Mortality and Maternal Mortality