Rupture of the gravid uterus following a road traffic accident

Onwudiegwu, U.; Okonofua, Friday; Omole-Ohonsi, A

doi:10.1016/0020-7292(90)90014-c

Cited by 10 publications

(4 citation statements)

References 5 publications

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“…This incidence is similar to other series in Africa 2512. Much higher incidence has been documented in other parts of Africa such as Uganda where values of 1:96 deliveries had been noted 13. Studies in Singapore noted lesser incidence of 1:6331 deliveries 14.…”

Section: Discussionsupporting

confidence: 87%

“…2 5 12 Much higher incidence has been documented in other parts of Africa such as Uganda where values of 1:96 deliveries had been noted. 13 Studies in Singapore noted lesser incidence of 1:6331 deliveries. 14 The high incidence in some of these centers is not surprising because of the rapid deterioration in the quality of obstetric care offered to patients as a result of economic depression in most of these countries.…”

Section: Discussionmentioning

confidence: 98%

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Rupture of the gravid uterus in a tertiary health facility in the Niger delta region of Nigeria: A 5-year review

Nyengidiki

Allagoa

2011

Niger Med J

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Background:Ruptured uterus is a major life-threatening condition encountered mostly in developing countries and is an index of failure of obstetric care at a point in time in a woman's reproductive career. With worsening economic condition, increasing caesarean section rates, and patients’ aversion for operative delivery this condition would still remain a major obstetric matter for discussion.Objective:To identify the incidence, sociodemographic variables, clinical characteristics, causes, and outcome of ruptured uterus at the University of Port Harcourt Teaching Hospital.Materials and Methods:A 5-year retrospective study of cases of ruptured uterus at the University of Port Harcourt Teaching Hospital was carried out. The case notes of 40 patients with uterine rupture during the period 2003-2007 were analyzed. Data collected included sociodemographic characteristics, etiologic factors, clinical presentation, and outcome. Data were analyzed using Microsoft Excel version 2007 and SPSS 14.0 computer software.Results:The incidence of rupture of the gravid uterus was 1:258 deliveries. In patients with rupture of the gravid uterus, 65% (26) of patients were unbooked; 37.5% (15) were aged between 25 and 29 years. A total of 42.5% (17) of patients had secondary education and 21 (52.5%) were housewives. Rupture of a previous scar was the commonest etiologic factor accounting for 32.5% (11). The commonest presentation was abdominal pain in 92.5% of cases. Perinatal mortality and maternal mortality were 80% and 17.5% respectively.Conclusion:Rupture of the gravid uterus still remains a major cause of maternal mortality. Injudicious use of oxytocics should be discouraged in peripheral health facilities and reinforcement of the need for hospital based deliveries in patients with previous caesarean sections should also be intensified to improve outcome.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 98%

Rupture of the gravid uterus in a tertiary health facility in the Niger delta region of Nigeria: A 5-year review

Nyengidiki

Allagoa

2011

Niger Med J

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“…In other local study conducted in Bannu its incidence was 1;64 12 which is much higher than our study. In Africa 1;96 deliveries was noted 13 while in other study in Africa it was 1;258. 14 A meta analysis of data from industrialized countries suggest that modern rate of unscarred uterine rupture during pregnancy is 0.013% (1 in 7440).…”

Section: Discussionmentioning

confidence: 70%

Uterine Rupture

Saeed

Ahmad

Akhtar

2015

TPMJ

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Objective: To determine frequency and to identify social, demographic andobstetrical causes of rupture uterus in Bagh Azad Jamu Kashmir and to define appropriaterecommendations for its prevention and effective management. Study Design: A descriptivecase series study. Setting: DHQ Hospital Bagh at AJK. Period: 1st September 2008 to 30thSeptember 2012 was done. Methodology: Data was entered on pre-design proforma includedage, parity, booked or un-booked cases, time delay to reach hospital and etiological factors.Results: Incidence of rupture uterus is 1:185 deliveries. Mostly occurred in grand multipara andinjudious use of syntocinon and neglected labor are most common cause. Conclusions: Skilledbirth attendant, free transportation and avoidance of undue use of syntocinon in peripheralhealth center are key element for better maternal outcome.

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“…L'atte inte traumatique de l'utérus est en rapport avec sa position abdominale du fait de la grossesse. Ceci expliquerait que la plupart des ruptures utérines par accident de voie publique surviennent surtout au 3 ème trimestre [2, 3]. En dehors de la grossesse, l'atteinte de l'utérus lors d'une contusion abdominale est exceptionnelle du fait de sa localisation pelvienne.…”

Section: Introductionunclassified

Section traumatique de l’utérus non gravide chez une accidentée de voie publique: à propos d’un cas

Cedrick¹,

Marius²,

Mireille³

et al. 2015

Pan Afr Med J

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Rupture of the gravid uterus following a road traffic accident

Abstract: A case of rupture of the uterus at 34 weeks of pregnancy due to a road traffic accident is presented. Emergency laparotomy and total abdominal hysterectomy were done with good maternal outcome. This is a rare cause of rupture of the uterus in this population.

Cited by 10 publications

References 5 publications

Rupture of the gravid uterus in a tertiary health facility in the Niger delta region of Nigeria: A 5-year review

Rupture of the gravid uterus in a tertiary health facility in the Niger delta region of Nigeria: A 5-year review

Uterine Rupture

Section traumatique de l’utérus non gravide chez une accidentée de voie publique: à propos d’un cas

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