The treatment of rupture of the pregnant uterus. Analysis of 93 cases treated in a rural hospital in Zambia

Abstract

In this study 93 cases of uterine rupture, treated in a rural hospital in Zambia have been analyzed. Clinical characteristics and mortality rate were found to be comparable to those reported in other series from developing countries. An attempt was made to compare the outcome of various surgical procedures. No statistically significant differences were found between the mortality rates after repair, subtotal and total hysterectomy (12%, 13% and 28%, respectively). A survey of recent literature on the treatment of uterine rupture in developing countries revealed a wide divergence of opinions and criteria of selection, precluding reliable comparisons. A proposition for individualized treatment is outlined, concluding that repair should be performed when suitable but that hysterectomy is preferable when the tear is extensive, bruised and contaminated.

Uterine Rupture in Labour: A Continuing Obstetric Challenge in Developing Countries - The Benin Experience

“…We recorded three maternal deaths (6.8%). This incidence is similar to those of Oronsaye et al, 3 and Konje et al 8 , (1990) but lower than those reported by other authors 18,11,14,18. The lower mortality recorded in this study was probably due to the early presentation and diagnosis and the prompt and aggressive surgical intervention.…”