Ruptured Uterus in Primiparous Women

Ruptured uterus is rare in developed country, but unfortunately it is common in a developing country like Bangladesh. It is one of the major obstetric emergencies. Rupture of unscarred uterus is uncommon event. Majority of the patients are multigravidae and in primipara it extremely rare. But in a tertiary referral hospital it is sometime seen. Four cases of ruptured uterus in primiparous patients are described. These patients were admitted as emergency cases in obstetrics and gynaecology department of Dhaka Medical College Hospital during the period 2000 –2001. These are due to injudicious use of oxytocin, obstructed labour due to hydrocephalus,cephalopelvic disproportion due to maternal kyphoscoliosis and road traffic accident in third trimester of pregnancy.