Maternal and Perinatal Outcomes of Uterine Rupture Patients among Mothers who Delivered at Mizan Aman General Hospital, SNNPR, South West Ethiopia; A Five Year Retrospective Hospital Based Study

Mengistie, Habtamu

doi:10.15406/mojwh.2016.02.00019

Cited by 10 publications

(26 citation statements)

References 15 publications

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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. Women who had previous cesarean section scar were 9 times more likely to develop uterine rupture (OR: 8.5: 95% CI: 4.98, 14.59).…”

Section: Rural Residency and Uterine Rupturementioning

confidence: 99%

“…Six articles with were included in this analysis [25,27,31,32,50,52]. There was a higher prevalence of uterine rupture among women who had prolonged labour.…”

Section: Prolonged Labour 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%

“…Six articles with were included in this analysis [25,27,31,32,50,52]. There was a higher prevalence of uterine rupture among women who had prolonged labour.…”

Section: Prolonged Labour 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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Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis

Alemu

Bitew

Gelaw

et al. 2020

Sci Rep

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Uterine rupture is a serious public health concern that causes high maternal and perinatal morbidity and mortality in the developing world. Few of the studies conducted in Ethiopia show a high discrepancy in the prevalence of uterine rupture, which ranges between 1.6 and 16.7%. There also lacks a national study on this issue in Ethiopia. This systematic and meta-analysis, therefore, was conducted to assess the prevalence and determinants of uterine rupture in Ethiopia. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic review and meta-analysis of studies. All observational published studies were retrieved using relevant search terms in Google scholar, African Journals Online, CINHAL, HINARI, Science Direct, Cochrane Library, EMBASE and PubMed (Medline) databases. Newcastle–Ottawa assessment checklist for observational studies was used for critical appraisal of the included articles. The meta-analysis was done with STATA version 14 software. The I2 test statistics were used to assess heterogeneity among included studies, and publication bias was assessed using Begg's and Egger's tests. Odds ratio (OR) with a 95% confidence interval (CI) was presented using forest plots. A total of twelve studies were included in this study. The pooled prevalence of uterine rupture was 3.98% (95% CI 3.02, 4.95). The highest (7.82%) and lowest (1.53%) prevalence were identified in Amhara and Southern Nations, Nationality and Peoples Region (SNNPR), respectively. Determinants of uterine rupture were urban residence (OR = 0.15 (95% CI 0.09, 0.23)), primipara (OR = 0.12 (95% CI 0.06, 0.27)), previous cesarean section (OR = 3.23 (95% CI 2.12, 4.92)), obstructed labor(OR = 12.21 (95% CI 6.01, 24.82)), and partograph utilization (OR = 0.12 (95% CI 0.09, 0.17)). Almost one in twenty-five mothers had uterine rupture in Ethiopia. Urban residence, primiparity, previous cesarean section, obstructed labor and partograph utilization were significantly associated with uterine rupture. Therefore, intervention programs should address the identified factors to reduce the prevalence of uterine rupture.

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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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Maternal and Perinatal Outcomes of Uterine Rupture Patients among Mothers who Delivered at Mizan Aman General Hospital, SNNPR, South West Ethiopia; A Five Year Retrospective Hospital Based Study

Cited by 10 publications

References 15 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

Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis

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

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