만삭자궁 파열 3례를 보고하는 바이다.

Rupture of the uterus constitues one of the most serious complication of the pregnancy. It is not frequent disease, but it caused 5% of all maternal death. Although the overall incidence has remained fairly constant recently, there has been a realtive change in the number of ruptures attributed to the particular cause. Rupture of the uterus due to obstetrical trauma has shown a marked decrease; this is the result of careful management. The resultant increase in the incidence of cesarean section, however, has brought about a relative increase in incomplete (silent dehiscence) uterine ruptures. We experienced 3 cases of uterine rupture recently: 1-st case was traumatic rupture due to careless use of exytocin by midwife. 2-nd case was spontaneous rupture of cesarean scar during labor. 3-rd case was traumatic rupture of previous cesarean scar by the administration of oxytocin at local clinic.