Uterine rupture: risk factors and prognosis
1 N’Djamena Mother and Child hospital.
2 N’Djamena Faculty of Human Health Sciences.
Review Article
World Journal of Advanced Research and Reviews, 2019, 04(02), 033-038
Article DOI: 10.30574/wjarr.2019.4.2.0090
Publication history:
Received on 14 November 2019; revised on 25 November 2019; accepted on 27 November 2019
Abstract:
Uterine rupture is a non-surgical breach of the continuity of the myometrial wall of the uterus.Objective: identify risk factors and evaluate the prognosis of uterine rupture.This was a descriptive and analytical study with retrospective data collection over a four-year period from January 1st, 2015 to December 31st, 2018.We recruited all cases of uterine rupture that met our criteria and matched them to the following case.The frequency of uterine rupture was 0.77%. The aged group from 25-34 were most represented with 69.5%. The average age was 27.1 ± 2.3 years with extremes of 15 and 47 years. The majority of patients (69%) were multiparous and one hundred and forty-five patients (72.5%) were referred.One hundred and sixty-six patients (83%) had an unscarred uterus.Inadequate use of oxytocin was inriminated in 104 cases (52%) with uterine rupture (p=0.02). Fetopelvic disproportion was found in 32% (p=0.002).The uterine rupture was complete in 76.5% of case. Suturing of uterus tear was done in 85.5%. Twenty-nine patients (14.5%) had a hysterectomy. Blood transfusion was performed in 78%. Anemia was the most common complication with 67.5% .Nineteen maternal deaths (9.5%) were recorded. One hundred and seventy-two fetuses (86%) were stillborn.Conclusion: This study shows that the main risk factors are a history of cesarean section, multiparity, and young age.
Keywords:
Rupture Uterine; Risk Factor and Prognosis in N’djamena Mother and Child Hospital
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Copyright © 2019 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0