Uterine rupture in Nigeria

Area of Science:

• Obstetrics and Gynecology
• Global Health
• Surgical Management

Background:

• Uterine rupture presents a significant obstetric challenge, particularly in developing regions.
• High rates of maternal morbidity and mortality are associated with uterine rupture globally.

Purpose of the Study:

• To analyze predisposing factors and outcomes of uterine rupture cases.
• To identify key indicators associated with maternal mortality in uterine rupture.

Main Methods:

• Retrospective analysis of 45 uterine rupture cases.
• Evaluation of predisposing factors and maternal death correlates.

Main Results:

• Common predisposing factors include cephalopelvic disproportion (62%) and grand multiparity (33%).
• Maternal death was strongly associated with sepsis (71%), macerated stillborn infants (60%), and prolonged labor (42%).

Conclusions:

• Effective management relies on prompt surgical intervention and hemodynamic resuscitation.
• Understanding risk factors is vital for preventing maternal mortality from uterine rupture in resource-limited settings.