OBJECTIVE: This study's goal is to learn more about the effects of future pregnancies after a complete uterine rupture, an uncommon but very dangerous obstetric condition that may have bad effects on both the mother and the baby. The research seeks to shed light on the related hazards and assist therapeutic decision-making for women with a history of uterine rupture by a thorough examination of the pregnancy outcomes. METHODS: The incidence of whole and partial uterine ruptures in future pregnancies, as well as their accompanying maternal and perinatal outcomes, were evaluated in the research. To identify possible risk factors and guide therapeutic care methods, the features of both the old and new ruptures were also defined and studied. RESULTS: Out of the 72 pregnancies studied, 37 had previous ruptures in the lower segment while 35 occurred outside this region. According to the data, there were a total of three new full ruptures and six new unremarkable partial ruptures, for rates of 4.2% and 8.3%, respectively. It's interesting to note that all three full ruptures happened prematurely in scars outside the bottom portion. Women who had previously ruptured in the lower section did not have any new full ruptures, but 8.6% of women who had previously ruptured outside the lower segment did. Even in the absence of new ruptures, corrected perinatal mortality was recorded at 1.3%, with a significant prevalence of preterm (37 weeks), which was mostly iatrogenic. Without any rupture, two hysterectomies were conducted, and in two of those instances, aberrant, invasive placentas were found. CONCLUSIONS: The prognosis is favorable for pregnancies that occur after a prior total uterine rupture. The date of birth is a crucial factor since prematurity is a worry that both the woman and the obstetrician have. Comprehensive instructions, careful observation of symptoms, and rapid delivery if a rupture is suspected are all important components of effective therapeutic procedures.

uterine rupture, obstetric, pregnancy.