%0 Journal Article %A Al Sakka, M. %A Daulah, W. %A Al Maslamani, K.H. %T Rupture of the Gravid Utensis %D 2011 %J Qatar Medical Journal, %V 2011 %N 2 %@ 2227-0426 %C 6 %R https://doi.org/10.5339/qmj.2011.2.6 %K Uterine rupture %K PGE2 %K previous scar %K syntocinon use %K epidural analgesia and neonatal outcome %K maternal %I Hamad bin Khalifa University Press (HBKU Press), %X Records were reviewed of 81 cases of ruptured gravid uteri seen in the hospitals of Hamad Medical Corporation, Doha, in the 32 years 1977–2008, an overall incidence of 0.025%, although the incidence 1977–1997 was 0.01 % and that of 1998–2008 was 0.036%. Grand multiparity was a prominent cause (56.5%) in the first 21 years but less so in the later period 1998–2008 (10%) although involvement of a uterine scar from a previous caesarian section was noted more (84%) in the later period than in 1977– 1997 (43.5%). Other associated factors were the use of oxytocin or PGE2. Epidural anesthesia in the later period might have provoked abnormal fetal heart rates. The need for hysterectomy decreased from 65% to 10%. Perinatal mortality decreased slightly. Although we conclude that uterine rupture is rare (0.025%) it can be catastrophic for mother and newborn and might be prevented by multi-layer uterine hysterotomy closure, a longer interpregnancy interval following a caesarian section, and no or limited use of prostaglandins. %U https://www.qscience.com/content/journals/10.5339/qmj.2011.2.6