TITLE

Rupture Of The Gravid Uterus

AUTHOR(S)
Fabamwo, Adetokunbo; Akinola, Oluwarotimi; Tayo, Adetokunbo; Akpan, Essien
PUB. DATE
January 2009
SOURCE
Internet Journal of Gynecology & Obstetrics;2009, Vol. 10 Issue 2, p8
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Ruptured uterus is a major obstetric emergency that exposes the mother and child to grave danger and contributes to the high maternal and perinatal mortality and morbidity in Nigeria. This study was carried out to determine the incidence, predisposing factors, the maternal and fetal outcomes of patients with uterine rupture in Lagos State University Teaching Hospital (LASUTH). A 4-year retrospective study of patients with uterine rupture in LASUTH between January 2000 and December 2003 was carried out. There were 56 cases of uterine rupture giving an incidence of 5.38 per 1000 deliveries. 95% of the patients were not followed antenatally. Most cases involved spontaneous ruptures. The interval between arrival in the hospital and intervention was greater than 6 hours in 30% of patients. Uterine repair was the most common surgical treatment. Case fatality was about 30%. Perinatal mortality exceeded 90%. The incidence of rupture uterus is still very high. Suggestions are made to reduce the incidence and mitigate this tragedy.
ACCESSION #
36115169

 

Related Articles

  • Maternal mortality and emergency obstetric care in Benin City, South-south Nigeria. Omo-Aghoja, L. O.; Aisien, O. A.; Akuse, J. T.; Okonofua, F. E. // Journal of Chinese Clinical Medicine;2010, Vol. 5 Issue 3, p164 

    Objective To estimate the maternal mortality ratio, identify the contribution of type - delays and assess the status of emergency obstetric services in a Nigerian Teaching Hospital. Methods Service delivery records of all maternities over 2 years were analyzed. Emergency care facilities in the...

  • Lessons learned from the outcome of bloodless emergency laparotomies on Jehovah’s Witness women presenting in the extremis with ruptured uterus. Chigbu, B.; Onwere, S.; Kamanu, C.; Aluka, C.; Okoro, O.; Feyi-Waboso, P.; Onichakwe, C. // Archives of Gynecology & Obstetrics;Apr2009, Vol. 279 Issue 4, p469 

    We compared the outcomes of bloodless emergency laparotomies for uterine rupture in twenty Jehovah’s Witness (JW) women who were in a state of haemorrhagic shock with 45 other women who received blood transfusion. The case records of twenty Jehovah’s Witness patients, who underwent...

  • Why is Perinatal Mortality Higher among Women Delivered at Health Facility in Rural Northwest Ethiopia? A Qualitative Study. Andargie, Gashaw; Berhane, Yemane; Worku, Alemayehu; Kebede, Yigzaw // British Journal of Medicine & Medical Research;2014, Vol. 4 Issue 29, p4834 

    This study investigated the reasons for high perinatal deaths among newborns delivered in health facilities in rural northwest Ethiopia. Qualitative in-depth interviews were conducted with 11 survivors of obstetric complications and 11 normal home deliveries. The interviews were audio recorded...

  • Can the Non-pneumatic Anti-Shock Garment (NASG) reduce adverse maternal outcomes from postpartum hemorrhage? Evidence from Egypt and Nigeria. Mourad-Youssif, Mohammed; Ojengbede, Oladosu A.; Meyer, Carinne D.; Fathalla, Mohammad; Morhason-Bello, Imran O.; Galadanci, Hadiza; Camlin, Carol; Nsima, David; Hussaini, Tarek al; Butrick, Elizabeth; Miller, Suellen // Reproductive Health;2010, Vol. 7, p24 

    Background: Postpartum hemorrhage (PPH) is the leading cause of maternal mortality and severe maternal morbidity. The Non-pneumatic Anti-Shock Garment (NASG), a first-aid lower-body compression device, may decrease adverse outcomes from obstetric hemorrhage. This article is the first to report...

  • Factores relacionados con el trauma perineal grave de origen obstétrico. El impacto de las prácticas rutinarias. Angelina Lorenzo-Pliego, Militza; Alberto Villanueva-Egan, Luis // Revista CONAMED;jul-sep2013, Vol. 18 Issue 3, p111 

    Introduction: The perineal tears are the most common obstetric complications generated in delivery attention; it has been reported that almost 73% nulliparous women present a moderated perineal tear and between 2.2% and 19% of vaginal delivery go through a sphincter anal laceration. The...

  • OBSTETRIC OUTCOMES; SUBSEQUENT TO STILLBIRTH IN THE FIRST PREGNANCY. Yasmeen, Fouzia; Shami, Nabeela; Talib, Waseem // Professional Medical Journal;Jan2011, Vol. 18 Issue 1, p11 

    Objectives: To compare obstetric outcomes in the pregnancy subsequent to still birth with that following live birth in first pregnancy. Data Source: Medline data base. Study Design: Prospective cohort study. Setting: Ghurki Trust Teaching Hospital Lahore. Materials & Methods: The study included...

  • Obstetric Pain and Its Management in the Perinatal Period. Günaydın, Berrin // Journal of the Turkish Anaesthesiology & Intensive Care Society ;Sep2010, Vol. 38 Issue 5, p320 

    A basic overview about the management of obstetric pain in the perinatal period has been presented. Pain relief methods used for labor and delivery and particularly the practice of neuraxial techniques for labor analgesia have been reviewed by summarizing preanesthetic evaluation, aspiration...

  • Barriers to Emergency Obstetric Care Services in Perinatal Deaths in Rural Gambia: A Qualitative In-Depth Interview Study. Jammeh, Abdou; Sundby, Johanne; Vangen, Siri // ISRN Obstetrics & Gynecology;2011, Special section p1 

    Objective. The Gambia has one of the world's highest perinatal mortality rates. We explored barriers of timely access to emergency obstetric care services resulting in perinatal deaths and in survivors of severe obstetric complications in rural Gambia. Method. We applied the "three delays" model...

  • Obstetrical Intervention and the Singleton Preterm Birth Rate in the United States From 1991--2006. MacDorman, Marian F.; Declercq, Eugene; Zhang, Jun // American Journal of Public Health;Nov2010, Vol. 100 Issue 11, p2241 

    Objectives. We examined the relationship between obstetrical intervention and preterm birth in the United States between 1991 and 2006. Methods. We assessed changes in preterm birth, cesarean delivery, labor induction, and associated risks. Logistic regression modeled the odds of preterm...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics