Abstract: Rupture of uterus is defined as disruption in the continuity of all uterine layers (endometrium, myometrium & serosal) any time beyond 28 weeks of pregnancy. The overall incidence of uterine rupture is 1 in 2,000 deliveries. Improved obstetric care reduces the rupture from obstructed labor but there has been increased prevalence of scar rupture following increased incidence of caesarean section over the years1. Maternal Mortality reported varies from 8-25% which is far higher in the spontaneous rupture group rather than in the scar rupture group. Compound presentation is defined as an extremity prolapsed beside the main presenting fetal part. The reported incidences ranges from 1-377 to 1-1213 deliveries. The combination of an upper extremity and the vertex is the most common type of compound presentation as has been observed in the present case. Perinatal mortality is as high as 80-95% in the spontaneous rupture group but only 15-20% in the scar rupture group. A fetal mortality rate of 4.8% has been noted if no intervention is required, compared with 14.4% with intervention other than caesarean delivery2. Although maternal age, race, parity and pelvic size have been associated with compound presentation, prematurity is the most common consistent clinical finding.
Title: A case of rupture uterus with compound presentation
Author: Rekhalatha
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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