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Ruptured uterus: the unabating obstetric catastrophe in South eastern Nigeria
C O U Esike1, O U J Umeora, J N Eze
1Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria. dimejesike@yahoo.com
Archives of Gynecology and Obstetrics
|May 18, 2010
Summary
Uterine rupture is a major cause of maternal and infant death in Nigeria, with a high incidence of 1 in 81 deliveries. Improving access to emergency obstetric care is crucial to reduce this catastrophe.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Maternal-Fetal Medicine
Background:
- Uterine rupture is a critical obstetric emergency with severe consequences for maternal and perinatal health in Nigeria.
- The condition significantly contributes to maternal and infant morbidity and mortality.
Purpose of the Study:
- To determine the incidence and management of uterine rupture.
- To analyze cases of uterine rupture over an 8-year period (2000-2004 and 2007-2009).
Main Methods:
- A descriptive study analyzing case records of uterine rupture.
- Data collected from Ebonyi State University Teaching Hospital, Nigeria.
Main Results:
- Incidence of uterine rupture was 1 in 81 deliveries, contributing 13.8% to maternal mortality.
- High fetal mortality (97.1%); highest incidence in para 2-4 group and teenagers.
- Anterior ruptures (65.4%) were most common; septicemia was the leading complication (31.7%).
Conclusions:
- Uterine rupture incidence is alarmingly high, posing a significant threat to maternal and perinatal survival.
- Multi-pronged efforts are needed to enhance medical service utilization and obstetric emergency care efficiency.
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