Morbimortalidad materno fetal por ruptura uterina

Abstract

Introducción: The incidence of uterine rupture is 5.3 in 10,000 births globally and 3 in 10,000 in developed countries. In the official document of the maternal death gazette of Ecuador in 2018, week 52, of the 17 pregnancies that ended in abortion, emphatically only 1 case was due to uterine rupture. Similarly, among the 23 cases involving obstetric hemorrhage, only 1 was caused by uterine rupture. Development: Uterine rupture is a rare, life-threatening peripartum complication with potentially serious consequences for the mother and fetus. Physiopathologically, it occurs due to the complete division of the three layers of the uterus, both the endometrium, myometrium and perimetrium during pregnancy or childbirth, it can be divided into incomplete and complete rupture depending on the degree, so that it can lead to the death of not being diagnosed in time. Conclusion: The current rate of elective cesarean sections worldwide is 21.1% and ranges between 5% in Africa and 42.8% in Latin America, leading to a greater number of complications secondary to a scarred uterus, including the dreaded uterine rupture. Access to statistical data in developing countries is limited, however, in Ecuador, the result of cases of uterine rupture obtained an incidence of around 5.9/10,000.