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

Ehigiegbaa, AE; Adeyemo, IS

doi:10.4314/jmbr.v5i1.10682

Cited by 7 publications

(17 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study there were 1(8.3%) intra operative maternal death and 11(91.7%) post-operative death, total maternal death 12 making case fatality rate of uterine rupture 10.4 % with is similar to studies done in Ghana (5.9%), Pakistan (7.8%) and Dar es Salaam Tanzania (12.9%) [16][17][18][19][20][21][22][23][24].…”

Section: Discussionsupporting

confidence: 66%

“…In this study the frequency of occurrence for uterine rupture is 1.6 %(1:62.57) which was by far higher when compared with that from a study in Adigrate where the incidence was 1:110, benin 1:315, Pakistan 9:1000, Ghana 1:124 and Dar es Salaam Tanzania 2.25:1000 [1,[12][13][14][15][16][17]. The difference could be explained by differences in delivery service coverage, accessibility of the facilities as well as availability of skilled personnel and medical supplies [18][19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Mengistie¹

2016

MOJWH

View full text Add to dashboard Cite

Background: Uterine rupture causes high maternal and perinatal mortality in many rural setting in the world. Ethiopia is one of the less developed countries where maternal and perinatal mortality rates are still very high.Objective: To determine maternal and perinatal outcomes of uterine rupture patients among mothers who delivered at Mizan-Aman General Hospital, South west Ethiopia. Methods:A descriptive hospital based cross sectional study on maternal and perinatal outcome of uterine rupture patients among mothers who delivered at Mizan-Aman General Hospital was done from June 1, 2011 -May 31, 2015. Data on socio demographic, obstetrics, intraoperative, post op complication, maternal and perinatal outcome was collected. The collected data analyzed with SPSS 20.0. Association between dependent and independent variables was done by using binary logistic regression model and P-Value <0.05 at 95% CI was taken as statistically significant.Result: 115 patient cards were included in the study. There were 1(8.3%) intra operative maternal death and 11(91.7 %) post-operative death, making case fatality rate of uterine rupture 10.4 %. The incidence of uterine rupture in the hospital was 1.6%. There were 110(95.6%) of neonatal death and 5(4.6%) of neonate were delivered alive, those delivered with instrument and from previous uterine scar. The common causes of uterine rupture were obstructed labor 57(49.6%) followed by malpresentation and malposition which account 26(22.6%). Of all uterine rupture patients 102(88.7%) were complete rupture, the common site of rupture were 38(33%) anterior transverse lower segment followed by anterior low vertical 22(19.1%). Repair with bilateral tubal ligation in 48(41.7%) followed by repair without bilateral tubal ligation in 34(29.6%) were the common procedures done for ruptured uterus patients. Conclusion:Hemoglobin level, blood transfusion, diagnosis of uterine rupture before operation had strong association with maternal out come and neonatal intensive care unit admission had also strong association with perinatal outcome.The common causes of uterine rupture are obstructed labor followed by malpresentation/ position. Complete uterine rupture and anterior lower segment rupture were by far the commonest patterns of uterine rupture by type and site respectively.

show abstract

Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

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

Mengistie¹

2016

MOJWH

View full text Add to dashboard Cite

show abstract

“…23 Most studies show foetal mortality varying between 56.8 to 94.74% and maternal death in the range of 0 to 5.9%. 7,13 We had no maternal death in this series. The absence of maternal death may reflect the awareness among health workers in peripheral health centres and the relatively improved blood bank facilities, operation theatre conditions and intensive care facilities available in our institute today.…”

Section: Discussionmentioning

confidence: 89%

“…A very high perinatal mortality is the hallmark of rupture uterus, the incidence ranging from 75% to 93%. 13,14 Presently maternal mortality due to rupture uterus ranges from 0-1% in developed countries and 5-10% in developing countries. 1,6 This study was done to evaluate the risk factors, clinical profile and consequences of uterine rupture on maternal and perinatal outcomes in our hospital.…”

mentioning

confidence: 99%

Rupture uterus: a prospective observational study of 25 consecutive cases in a tertiary referral centre in South India

Desai¹,

Kamat²

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Uterine rupture in pregnancy is a rare though catastrophic complication with a high incidence of foetal and maternal morbidity. It appeared to be on the decline in recent times, prompting us to analyse the clinical picture now. The objective of the study was to study the risk factors, clinical profile and consequences of uterine rupture on maternal and perinatal outcome.Methods: A prospective observational study of 25 consecutive cases of uterine rupture was carried out between July 2013 and October 2015. All the cases of rupture uterus either referred or diagnosed after admission were included. Detailed demographic data, past and present obstetric events, time taken to reach the referral centre, the reasons for any delay, mode of presentation, type of rupture, management and maternal and foetal outcomes were analysed.Results: The incidence of rupture was 1 in 915 deliveries. Seventy-two per cent of them were referred cases. Average time to reach from referral centre was 4.3 hours, the common reasons for delay being patient factors (33%), transport problems (38%) and delayed referrals (22%). Previous caesarean section was the most common predisposing factor (56%). Sixty-four per cent of the ruptures were diagnosed clinically. Eighty-four per cent of the ruptures were complete. Sub-total hysterectomy was carried out in 14 (56%) patients. Internal iliac artery ligation (20%) and bladder repair (8%) were sometimes required. All women required blood transfusion. Perinatal mortality was seen in 76%. There was no maternal mortality.Conclusions: Uterine rupture is a cause of severe acute maternal morbidity and very high perinatal mortality. Delay in referral and diagnosis can lead to significant maternal morbidity and hysterectomy.

show abstract

“…Ruptured uterus is associated with numerous factors and causes [2,[5][6][7][8][9], most of which can be tackled by having improved healthcare delivery, access to quality antenatal care and family planning [1,4]. Studies in Ethiopia identified obstructed labor as leading cause of uterine rupture [4,5,9].…”

Section: Introductionmentioning

confidence: 99%

Uterine Rupture among Women who Gave Birth at Nekemte Referral Hospital: Case Control Study

Bekabil¹

2018

Biol Med

View full text Add to dashboard Cite

show abstract

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

Cited by 7 publications

References 6 publications

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

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

Rupture uterus: a prospective observational study of 25 consecutive cases in a tertiary referral centre in South India

Uterine Rupture among Women who Gave Birth at Nekemte Referral Hospital: Case Control Study

Contact Info

Product

Resources

About