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Ruptured uterus in a primigravida: a case report
1Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
Maternal mortality and morbidity have remained very high in the developing countries and one of its commonest causes is ruptured uterus, which in a primigravida is rather unusual. The patient reported was a primigravida with no previous uterine scar who had prenatal care and delivery of a live male infant at a private clinic in Ibadan. The identifiable aetiological factors in this case are pitocin augmentation and manual removal of the placenta. Fortunately, a timely exploratory laparatomy averted another mortality. This is not usually the case in the majority of high-risk patients labouring outside a proper hospital setting consequent upon a declining economy and the rising influence of religion. Methods to reduce this obstetric catastrophy are discussed.
Maternal mortality and morbidity have remained very high in the developing countries and one of its commonest causes is ruptured uterus, which in a primigravida is rather unusual. The patient reported was a primigravida with no previous uterine scar who had prenatal care and delivery of a live male infant at a private clinic in Ibadan. The identifiable aetiological factors in this case are pitocin augmentation and manual removal of the placenta. Fortunately, a timely exploratory laparatomy averted another mortality. This is not usually the case in the majority of high-risk patients labouring outside a proper hospital setting consequent upon a declining economy and the rising influence of religion. Methods to reduce this obstetric catastrophy are discussed.
