Assessment of the Associated Factors, Management and Complications of Uterine Rupture at Mizan-Tepi University Teaching Hospital, Mizan-Aman Town, Bench-Maji Zone, Snnprs, South West Ethiopia, 2016/17: A Case Control Study

Yemane, Y; Gizaw, Workineh

doi:10.21767/1791-809x.1000511

Cited by 9 publications

(20 citation statements)

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“…Four study was assessed using JBI checklist for case-control studies [37,50,51,52], eleven studies [2,8,[22][23][24][28][29][30][31][32][33] using JBI checklist for cross sectional studies, and one study [27] using the JBI checklist for case control studies. None of the studies were excluded based on the quality assessment criteria ( Table 1).…”

Section: Quality Of the Included Studiesmentioning

confidence: 99%

“…Primarily, among sixteen studies, four case-control studies were not considered in the prevalence estimation. Consequently, twelve studies [2,8,[22][23][24][27][28][29][30][31][32][33] were included in the nal meta-analysis to estimate the prevalence of uterine rupture..…”

Section: Prevalence Of Uterine Rupturementioning

confidence: 99%

“…Grand multiparity and uterine rupture Six studies [2,23,25,28,30,31] showed a signi cant association between grand multiparity and uterine rupture. Women who were grand multipara were 2 times more likely to develop uterine rupture (OR: 1.99: Previous cesarean section scar and uterine rupture Three studies [23,25,32] showed a signi cant association between Previous cesarean section scar and uterine rupture.…”

Section: Rural Residency and Uterine Rupturementioning

confidence: 99%

“…In Ethiopia, obstructed labor and uterine rupture cause 36% of maternal death [50]. There are studies on the prevalence and factors for uterine rupture in Ethiopia [2,8,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36]. The majority of the studies are inconsistent and showed variations from 4.4% [37] to 25% [8] over time and across geographical areas.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of uterine rupture and associated factors in Ethiopia: A systematic review and Meta – analysis

Ayenew

Nigussie

Zewdu

2020

Preprint

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Background Globally, maternal morbidity and mortality a major public health challenge. Uterine rupture is a life-threatening obstetrical emergency with serious undesired complications for both the mother and her infant. Uterine rupture is the leading cause of maternal and fetal death in developing countries. Therefore, the aim of this systematic review and meta-analysis was to assess the prevalence of uterine rupture and its associated factors in Ethiopia. Method: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed. The databases used were; PubMed, Google scholar, Cochrane Library, African Journals Online, Ethiopian's university research repository online library, and manual searching. The search was further limited to studies conducted in Ethiopia and reported in English. Two authors independently extracted all necessary data using a standardized data extraction format. STATA 11 software was used to analyze the data. The Cochrane Q and I2 test were used to assess the heterogeneity of studies. The pooled estimate prevalence and the odds ratios with 95% confidence intervals were computed by a random effect model. Result: A total of 16 studies were included in this meta-analysis with a sample size of 10,550. The national pooled prevalence of uterine rupture was 14.74%. The pooled adjusted odds ratio (AOR) of uterine rupture for prolonged labour(>24hours) was 4.3 (95% CI=2.57,7.19), not having antenatal care during pregnancy was 3.71(95%CI=2.26,6.08),grand multiparity was 1.99(95%CI=1.04,3.81),rural residency was 4.17 (95%CI=1.72,10.12),having cesarean section scar was 8.52 (95%CI: 4.98,14.59),not using partograph during labour was 3.43(1.62,7.29), and obstructed labour was 8.78(95%CI:3.38,22.8). Conclusion: This systematic review and meta-analysis showed that uterine rupture was high in Ethiopia. Being from the rural residence, prolonged labour(>24hours) , not having ante natal care , grand multiparity, having cesarean section scar , not using partograph during labour, and obstructed labour increased the risk of uterine rupture.

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Section: Quality Of the Included Studiesmentioning

confidence: 99%

Section: Prevalence Of Uterine Rupturementioning

confidence: 99%

Section: Rural Residency and Uterine Rupturementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The prevalence of uterine rupture and associated factors in Ethiopia: A systematic review and Meta – analysis

Ayenew

Nigussie

Zewdu

2020

Preprint

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“…In developing countries uterine rupture occurs as a usual problem following complications of directly oxytocin induction or augmentation, trial of labour after caesarean delivery due to unsupervised care, poor ANC follow up, prolonged labour, home delivery, teen-age pregnancy, multi-gravidity, low socioeconomic status, poor infrastructure and poor referral system; as all of these cases leading to the mothers and their fetus for the poor management outcome [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Management Outcome of Uterine Rupture and Associated Factors in Yirgalem General and Teaching Hospital, Southern Ethiopia: A Cross-Sectional Study

Gebretsadik

Hagos

Tefera

2019

Preprint

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Background Uterine rupture is dropped significantly in the developed world. However, it is still a major public health problem in developing countries including Ethiopia. The aim of this study was to assess management outcome of uterine rupture and its associated factors in Yirgalem General and teaching Hospital of southern Ethiopia. Methods An institution based cross-sectional study was conducted. All records of uterine rupture managed in Yirgalem general and teaching hospital between January 1, 2012, and December 30, 2017, were reviewed. Data were collected using a checklist. Descriptive statistics and logistic regression analyses were done. Results A total of 331 cases of mothers who managed for uterine rupture were included in the study. 235 (71%) of them had a poor management outcome. Wound site infection 131 (39.6%) and anemia 129 (39%) where the common post-operative complications. There were 13 (4%) maternal death and 320 (96.7%) neonatal death. Lack of antenatal care follow up (adjusted odds ratio (AOR) =2.2, 95% CI: 1.1-4.5), prolonged duration of labor more than 24hr (AOR=3.6; 95% CI: 1.7-7.4), patients presented with sepsis (AOR=2.9; 95% CI: 1.4-6.1), mothers who did not transfuse for blood during the case scenario (AOR=4; 95% CI: 2.1-7.9) and prolonged intra operative time (AOR=5.5; 95% CI: 2.8-10.8) were factors associated with poor management outcome of uterine rupture. Conclusion Poor management outcome of uterine rupture was high in the study area as compared to other studies. Lack of ANC follow up, longer duration of the surgical procedure, prolonged duration of labor, lack of blood transfusion and pre and postoperative complications are associated with poor management outcome. Therefore, proper ANC and early identification of the high-risk groups can prevent and decline the occurrence of uterine rupture and that enhance good outcome.

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Determinants of uterine rupture at public hospitals of western Ethiopia: A case–control study

2022

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Introduction: Uterine rupture is a separation of the entire thickness of the uterine wall with the extrusion of fetal parts to the peritoneal cavity. It contributes to high maternal and perinatal mortality in Ethiopia. This study was aimed to identify determinants of uterine rupture among mothers who gave birth at East Wollega Zone public hospitals. Methods: A facility-based unmatched case–control study was conducted among 239 samples (47 cases and 192 controls) from 5 June 2019 to 30 September 2019. Cases were those with uterine rupture, and controls were those free from uterine rupture. Cases were selected consecutively, and controls were selected using a systematic sampling method. For analysis, data were entered into Epi-data version 3.1 and exported to SPSS version 20. Descriptive statistics were performed to describe the variables. Binary and multivariable logistic regression were used in the analysis. The outputs were presented using an adjusted odds ratio with 95% confidence intervals. Results: Two hundred thirty-nine (47 cases and 192 controls) mothers who gave birth in public hospitals in the East Wollega zone were interviewed, making a response rate of 100%. Living in an urban area (adjusted odds ratio = 0.219, 95% confidence interval: 0.067, 0.717), prolonged labor (adjusted odds ratio = 5.401, 95% confidence interval: 1.825, 15.981), obstructed labor (adjusted odds ratio = 4.333, 95% confidence interval: 1.276, 14.715), previous history of C/S (adjusted odds ratio = 6.5261, 95% confidence interval: 1.889, 22.554), and having no history of female genital cutting (adjusted odds ratio = 0.190, 95% confidence interval: 0.053, 0.682) were predictors of uterine rupture. Conclusion: In this study, socio-demographic, maternal nutrition, obstetric, and health system-related factors were identified as risks of uterine rupture. Particular emphasis should be given to modifiable risk factors to reduce maternal morbidity and mortality in the study area.

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Assessment of the Associated Factors, Management and Complications of Uterine Rupture at Mizan-Tepi University Teaching Hospital, Mizan-Aman Town, Bench-Maji Zone, Snnprs, South West Ethiopia, 2016/17: A Case Control Study

Cited by 9 publications

References 0 publications

The prevalence of uterine rupture and associated factors in Ethiopia: A systematic review and Meta – analysis

The prevalence of uterine rupture and associated factors in Ethiopia: A systematic review and Meta – analysis

Management Outcome of Uterine Rupture and Associated Factors in Yirgalem General and Teaching Hospital, Southern Ethiopia: A Cross-Sectional Study

Determinants of uterine rupture at public hospitals of western Ethiopia: A case–control study

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