One hundred and forty-six cases of rupture of the uterus during labour are reported and obstetric practice is described in Eastern Libya, where these disasters took place. The incidence and the causes of uterine rupture in Libya differ greatly from those in developed countries; high multiparity is a frequent cause. Hysterectomy is very often the best treatment. More than three-quarters of the children were lost, but 92% of the mothers were saved.
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