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Uterine rupture an obstetrics catastrophy; incidence, risk factors, management and outcome at Abubakar Tafawa Balewa University Teaching Hospital Bauchi Nigeria
Abstract
Context: Ruptured uterus is still an important obstetrics complication because it contributes significantly to both maternal and foetal morbidity and mortality in our setting. Therefore there is a need to further evaluate its causes and the outcome of its management.
Objective: To determine the incidence, risk factors, management and outcome of ruptured uterus in our centre and thus provide a baseline data on the subject for comparison in the future as the hospital is now upgraded to a Teaching Hospital.
Materials and Methods: A two year retrospective review carried out on 67 patients that were managed for uterine rupture during the study period. Data was obtained from patients' case files, labour ward registry, theatre registry, admission /discharge registry and entered into a proforma. Descriptive analysis was done with SPSS software (version16.0).
Results: There were a total of 19,412 deliveries in the review period out of which there were 67 ruptured uteri. The incidence of ruptured uterus is 0.35% and the common risk factors include high parity, exposure to oxytocin in labour, scar on the uterus, prolonged labour and unbooked status. Foetal mortality was 100% and maternal mortality 13.4%.
Wound sepsis/dehiscence, vesicovaginal fistula and anaemia were the common complications in this study.
Conclusion: Ruptured uterus remains an important obstetrics problem in our centre. It is associated with high maternal mortality and foetal mortality. More effort is needed to reduce this obstetrics problem.
Key Words: Uterine rupture, Risk factors, Management, outcome, Bauchi
