Rupture Of The Gravid Uterus

Fabamwo, Adetokunbo; Akinola, Oluwarotimi; Tayo, Adetokunbo; Akpan, Essien
January 2009
Internet Journal of Gynecology & Obstetrics;2009, Vol. 10 Issue 2, p8
Academic Journal
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.


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