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Analysis of ruptured uterus in Debre Markos Hospital, Ethiopia
Abstract
Objective: To determine the incidence of uterine rupture in a rural hospital and to examine its cause, type and outcome.
Design: A prospective study.
Setting: Debre Markos Hospital, Ethiopia.
Subject. All patients who were admitted and operated on for uterine rupture in the above mentioned hospital over a period of two years.
Outcome measures: Parity, weather an attempt was made to deliver them preoperatively, diagnosis at admission, vital sign status on admission and type of operation.
Results: There were a total of 1830 deliveries and seventy uterine rupture cases. Frequency of occurrence of uterine rupture was 3.8% or one in 26 deliveries. The peak incidence was between 25 to 29years. Mean parity was 3.6 and grand multiparas (>5) accounted for most (34.2%). Intraoperatively 62 were found to have complete and eight incomplete rupture with 54.3% anterior rupture. Hysterectomy was done for 57 and repair for 13. The postoperative complication rate was 24.3%, sepsis being thc most common cause of death.
Conclusion: Uterine rupture is relatively common mainly as a result of obstructed labour and multiparity. Improved healthcare delivery, accesss to prenatal care and family planning will improve the situation.
East African Medical Journal Vol.81(1) 2004: 52-55
Design: A prospective study.
Setting: Debre Markos Hospital, Ethiopia.
Subject. All patients who were admitted and operated on for uterine rupture in the above mentioned hospital over a period of two years.
Outcome measures: Parity, weather an attempt was made to deliver them preoperatively, diagnosis at admission, vital sign status on admission and type of operation.
Results: There were a total of 1830 deliveries and seventy uterine rupture cases. Frequency of occurrence of uterine rupture was 3.8% or one in 26 deliveries. The peak incidence was between 25 to 29years. Mean parity was 3.6 and grand multiparas (>5) accounted for most (34.2%). Intraoperatively 62 were found to have complete and eight incomplete rupture with 54.3% anterior rupture. Hysterectomy was done for 57 and repair for 13. The postoperative complication rate was 24.3%, sepsis being thc most common cause of death.
Conclusion: Uterine rupture is relatively common mainly as a result of obstructed labour and multiparity. Improved healthcare delivery, accesss to prenatal care and family planning will improve the situation.
East African Medical Journal Vol.81(1) 2004: 52-55
