Rupture of the Uterus in Pregnancy

In the 34 years from 1929 to 1962, inclusive, there were 35 cases of rupture of the uterus during pregnancy at the Pennsylvania Hospital. The series is classified according to etiologic factors and is reviewed from the standpoints of age and parity of the patients, time and site of rupture, causes, diagnosis, treatment, and maternal and fetal mortality. The adoption of less traumatic procedures for termination of labor has reduced the incidence of non-cesarean uterine rupture. Gratifying results have been achieved in management of post-cesarean uterine rupture in recent years; during the second half of the 34 year period there were no maternal or fetal deaths in this group.