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Ruptured uterus at Sagamu, Nigeria
A O Olatunji1, A O Sule-Odu, P O Adefuye
1Department of Obstetrics and Gynaecology, Obafemi Awolowo College of Health Sciences, Ogun State University, Sagamu, Nigeria.
The Nigerian Postgraduate Medical Journal
|April 15, 2003
Summary
Ruptured uterus, a major cause of maternal mortality, can be reduced through improved antenatal care and timely interventions. This study highlights preventable factors and strategies for better outcomes in uterine rupture cases.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Surgical Outcomes
Background:
- Ruptured uterus is a significant contributor to maternal mortality.
- Understanding its incidence and risk factors is crucial for improving obstetric care.
- Previous studies highlight the need for better management strategies.
Purpose of the Study:
- To review cases of ruptured uterus to identify trends.
- To determine the incidence and common causes of uterine rupture.
- To evaluate management strategies and outcomes.
Main Methods:
- Retrospective review of 60 ruptured uterus cases.
- Data collected from January 1988 to December 1997.
- Analysis of patient demographics, rupture characteristics, and treatment modalities.
Main Results:
- Incidence of uterine rupture was 11.5 per 1,000 deliveries.
- Most cases (76.7%) occurred in women aged 30 years or older and multiparous women (58.6%).
- Spontaneous rupture (76.7%) in the lower uterine segment (80%) was most common; 88.3% were unbooked patients.
- Management included uterine repair with sterilization (46.7%), subtotal hysterectomy (26.7%), and repair only (11.7%).
Conclusions:
- Preventable etiological factors underscore the importance of comprehensive antenatal care.
- Early referral and efficient blood transfusion systems can significantly improve outcomes.
- Multidisciplinary approaches are essential for reducing maternal mortality from uterine rupture.