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Risk factors for ruptured uterus in Mulago hospital Kampala, Uganda
1Walter Sisulu University, Private Bag Xl Unitra, Mthatha 5117, South Africa.
Objective:
To determine the risk factors for ruptured uterus.
Design:
A case control study.
Setting:
Mulago Hospital labour wards, Kampala, Uganda.
Subjects:
Fifty two women with ruptured uterus were recruited between 15th November 2001 and 30th November 2002 and were compared with 500 mothers with normal delivery.
Results:
The predictors for ruptured uterus were low socio-economic (OR 2.5, 95% CI 1.2-7.1), residing more than ten kilometres from Mulago hospital (OR 6.7, 95% CI 2.1-21.2). Delivery by Caesarean section in previous pregnancy (OR 22.3, 95% CI 9.2-54.2) delivery of babies weighing more than 3500 grams (OR 2.4, 95% CI 1.2-7.2) and testing HIV positive (OR 3.2, 95% CI 1.5-7.2).
Conclusion:
Uterine rupture is still common in our society and is associated with severe maternal morbidity and mortality. There is need for women to use maternity units during pregnancy and delivery, to monitor labour using a partograph and timely intervention of delivery will prevent uterine rupture.
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