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

Alemu, Addisu Alehegn; Bitew, Mezinew Sintayehu; Gelaw, Kelemu Abebe; Zeleke, Liknaw Bewket; Kassa, Getachew Mullu

doi:10.1038/s41598-020-74477-z

Cited by 13 publications

(12 citation statements)

References 66 publications

(100 reference statements)

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“…The prevalence found in the present study is similar to that of African countries (18.8%) [14]. In Latin America and the Caribbean, the pregnancy rate is the second highest in the world, second only to the one found in the Sub-Saharan Africa [13].…”

Section: Discussionsupporting

confidence: 83%

Prevalence, socioeconomic factors and obstetric outcomes associated with adolescent motherhood in Ceará, Brazil: a population-based study

Bruno

Rocha

et al. 2021

BMC Pregnancy Childbirth

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Background Adolescent motherhood (AM) remains a public health problem, especially in low and middle income countries, where approximately 95% of these births occur. Evidence from studies with population representativeness about events associated with AM is limited. We assessed the prevalence of AM, as well as its association with Socioeconomic Factors and Obstetric Outcomes. Methods A population-based cross-sectional study on maternal and child health of women aged 10 to 49 years, living in the state of Ceará, in northeastern Brazil was carried out to assess the prevalence of AM, as well as its association with Socioeconomic Factors and Obstetric Outcomes. The definition of adolescence used in the study was the one utilized by the WHO. In addition to the interview, data were double-checked according to the information in the government’s pregnancy health booklet. Sample-adjusted logistic models to determine the association of socioeconomic factors and AM, as well as the association of AM with obstetric outcomes, with a causal approach to multivariate analyses, were used. Results The prevalence of adolescent motherhood was 18.6%. Poverty and household crowding were associated with greater chances of AM (p values of 0.038 and < 0.001, respectively), as well as not being in a stable relationship (OR 2.26 (95%CI: 1.67, 3.07), p < 0.001). AM showed a greater chance of not using community health services (p < 0.001), had fewer prenatal consultations (β − 0.432 (95%CI: − 0.75, − 0.10)) and started prenatal care at a later date (β 0.38 (95%CI: 0.21, 0.55), p < 0.001)). AM are also less likely to be tested for HIV and more likely to have urinary tract infections. Conclusions Interventions aimed at socially-vulnerable adolescents are suggested. However, if pregnant, adolescents should receive proactive and differentiated prenatal care.

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Section: Discussionsupporting

confidence: 83%

Prevalence, socioeconomic factors and obstetric outcomes associated with adolescent motherhood in Ceará, Brazil: a population-based study

Bruno

Rocha

et al. 2021

BMC Pregnancy Childbirth

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“…This could be explained by optimal ANC's role in the identification of potential risk exposure to uterine rupture and bolster for immediate and planned intervention such as cesarean section(C/S) ( 102 ). Home delivery, obstructed labour, prolonged labour, severe anemia, previous history of C/S, and partograph utilization were identified as risk factors for uterine rupture in Ethiopia ( 103 – 105 ). All those risk factors are handled during ANC visits by providing iron folate, encouraging institutional delivery, and planning selective C/S ( 106 , 107 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of optimal antenatal care on maternal and perinatal health in Ethiopia

2023

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IntroductionReceiving at least four antenatal care (ANC) visits have paramount importance on the health of mothers and perinates. In Ethiopia, several studies were conducted on ANC service utilization; however, limited studies quantified the effect of care on maternal and perinate health. In response to this gap, this study is conducted to quantify the effect of optimal ANC care (≥4 visits) on maternal and perinatal health among women who received optimal care in comparison to women who did not receive optimal care.MethodsThe study utilized the Ethiopian perinatal death surveillance and response (PDSR) system dataset. A total of 3,814 reviewed perinatal deaths were included in the study. Considering the nature of the data, preferential within propensity score matching (PWPSM) was performed to determine the effect of optimal ANC care on maternal and perinatal health. The effect of optimal care was reported using average treatment effects of the treated [ATT].ResultThe result revealed that optimal ANC care had a positive effect on reducing perinatal death, due to respiratory and cardiovascular disorders, [ATT = −0.015, 95%CI (−0.029 to −0.001)] and extending intrauterine life by one week [ATT = 1.277, 95%CI: (0.563–1.991)]. While it's effect on maternal health includes, avoiding the risk of having uterine rupture [ATT = −0.012, 95%CI: (−0.018 to −0.005)], improving the utilization of operative vaginal delivery (OVD) [ATT = 0.032, 95%CI: (0.001–0.062)] and avoiding delay to decide to seek care [ATT = −0.187, 95%CI: (−0.354 to −0.021)].ConclusionObtaining optimal ANC care has a positive effect on both maternal and perinatal health. Therefore, policies and interventions geared towards improving the coverage and quality of ANC services should be the top priority to maximize the benefit of the care.

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“…In our study, osseous dystocia accounted for 10.9% of uterine rupture cases. 2,7,12,20,23 Fetal dystocia type of fetal macrosomia (21.2%) and dystocicpresentation (15.3%) were also found. The use of uterotonics through oxytocin infusion (16.5%), whether or not preceded by cervical ripening with misoprostol (2.4%).…”

Section: Scarred Uterusmentioning

confidence: 92%

“…12 In two meta-analysis conducted by Alemu et al (OR 3.23 95% CI 2.12-4.92) and Desta et al (OR 9.95 95% CI 3.09-32.0) relating respectively to 12 and 16 different studies, the history of cesarean section was confirmed as a risk factor for uterine rupture. 2,20 This risk increases with a short birth interval. 2,21,22 Other circumstances…”

Section: Scarred Uterusmentioning

confidence: 99%

Circumstances of occurrence of uterine ruptures treated in a national reference maternity department in Benin from 2015 to 2019

Ogoudjobi

Dangbemey

Obossou

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: Uterine rupture is an obstetric disaster and a major concern for the obstetrician in an African environment because of the insufficient technical support. Objective of current study was to study the circumstances of occurrence of uterine ruptures.Methods: The study was carried out at the university clinic of obstetrics and gynecology of CNHU-HKM in Cotonou. This was a descriptive and cross-sectional study with retrospective collection from January 1, 2015 to December 31, 2019. We made an exhaustive recruitment of all the patients treated in the department for uterine rupture during the study period. The study variables were socio-demographic and clinical characteristics. Data confidentiality and the anonymity of women were respected.Results: The study involved 85 cases of uterine rupture. Patients were relatively young with a mean age of 30±15.02 years. Women profile was that of populations with unfavorable socio-economic conditions. The circumstances of discovery were multiparity equal to or greater than 4 (43.5%), scarred uterus (32.9%), non-use of partogram (97.6%), osseous dystocia (10.9%) and fetal dystocia with fetal macrosomia (21.2%) and dystocic presentation (15.3%).Conclusions: This study identified epidemiological and clinical characteristics related to the circumstances of known uterine ruptures occurrence. A preventive and anticipatory oriented approach can reduce the frequency of that obstetric tragedy, the adequate management of which is often uncertain in Benin.

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

Cited by 13 publications

References 66 publications

Prevalence, socioeconomic factors and obstetric outcomes associated with adolescent motherhood in Ceará, Brazil: a population-based study

Prevalence, socioeconomic factors and obstetric outcomes associated with adolescent motherhood in Ceará, Brazil: a population-based study

Effect of optimal antenatal care on maternal and perinatal health in Ethiopia

Circumstances of occurrence of uterine ruptures treated in a national reference maternity department in Benin from 2015 to 2019

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