Uterine ruptures: Epidemiological aspects and prognosis at N’djamena Mother and Child Hospital
Background: Uterine rupture is a non-surgical breach of the continuity of the myometrial wall, and is always a major obstetric emergency. Objective: To identify the main etiologies of uterine rupture aiming to improve its management and reduce its morbidity. Material and method: This was a pro...
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| Format: | Article |
| Language: | English |
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Health and Social Sciences Research Institute - South Sudan (HSSRI-SS)
2015-11-01
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| Series: | South Sudan Medical Journal |
| Subjects: | |
| Online Access: | http://www.southsudanmedicaljournal.com/archive/november-2015/uterine-ruptures-epidemiological-aspects-and-prognosis-at-ndjamena-mother-and-child-hospital.html |
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| author | Gabkika Bray Madoue Foumsou Lhagadang Djongali Tchonchimbo Salathiel Kheba Fauba Allarehene Noudjalbaye Adamou Mana Abassi AdoumTchari |
| author_facet | Gabkika Bray Madoue Foumsou Lhagadang Djongali Tchonchimbo Salathiel Kheba Fauba Allarehene Noudjalbaye Adamou Mana Abassi AdoumTchari |
| author_sort | Gabkika Bray Madoue |
| collection | DOAJ |
| description | Background: Uterine rupture is a non-surgical breach of the continuity of the myometrial wall, and is always a major obstetric emergency.
Objective: To identify the main etiologies of uterine rupture aiming to improve its management and reduce its morbidity.
Material and method: This was a prospective and descriptive survey carried out for nine months in 2013 at N’Djamena Mother and Child hospital The population studied was pregnant women (>28 gestational weeks), or in post-partum period, admitted for uterine rupture. Chi-square (X2) test (p<0.05) was used to compare variables
Result: We recorded 54 uterine ruptures among 9384 deliveries giving a frequency of 0.57%.The average age was 26. 8 years with a range of 15 to 40 years. Thirty two of the 54 patients (57.4%) were multiparous (average parity was 3.8). Eighteen had a scarred uterus (p=0,014). Among the causes, foeto–pelvic disproportion was observed in44.4% of patients (n=24/54) followed by the inappropriate use of oxytocin in 24.1 % (n=13/54). Complete uterine rupture was noted in 77.8%.Laparotomy was performed in all cases. The conservative treatment (suture of uterine lacerations) was done in 47cases (87%). Hysterectomy was carried out in 7 cases (13%). Five patients died (9.3%) in the intensive unit care. Fifty foetuses (92.6%) died Conclusion: Uterine rupture is an obstetrical emergency. It remains a common cause of death for the mothers and foetuses. The prevention is possible. |
| first_indexed | 2024-04-11T01:51:01Z |
| format | Article |
| id | doaj.art-795df804233c40b9a806e6de0e987935 |
| institution | Directory Open Access Journal |
| issn | 2309-4605 2309-4613 |
| language | English |
| last_indexed | 2024-04-11T01:51:01Z |
| publishDate | 2015-11-01 |
| publisher | Health and Social Sciences Research Institute - South Sudan (HSSRI-SS) |
| record_format | Article |
| series | South Sudan Medical Journal |
| spelling | doaj.art-795df804233c40b9a806e6de0e9879352023-01-03T06:31:13ZengHealth and Social Sciences Research Institute - South Sudan (HSSRI-SS)South Sudan Medical Journal2309-46052309-46132015-11-01847679Uterine ruptures: Epidemiological aspects and prognosis at N’djamena Mother and Child HospitalGabkika Bray Madoue0Foumsou Lhagadang1Djongali Tchonchimbo Salathiel2Kheba Fauba3Allarehene Noudjalbaye4Adamou Mana Abassi5AdoumTchari6N’Djamena Faculty of Medicine.N’Djamena Faculty of Medicine.N’Djamena Mother and Child Hospital.N’Djamena Faculty of Medicine.N’Djamena Faculty of Medicine.N’Djamena Mother and Child Hospital.N’Djamena Faculty of Medicine.Background: Uterine rupture is a non-surgical breach of the continuity of the myometrial wall, and is always a major obstetric emergency. Objective: To identify the main etiologies of uterine rupture aiming to improve its management and reduce its morbidity. Material and method: This was a prospective and descriptive survey carried out for nine months in 2013 at N’Djamena Mother and Child hospital The population studied was pregnant women (>28 gestational weeks), or in post-partum period, admitted for uterine rupture. Chi-square (X2) test (p<0.05) was used to compare variables Result: We recorded 54 uterine ruptures among 9384 deliveries giving a frequency of 0.57%.The average age was 26. 8 years with a range of 15 to 40 years. Thirty two of the 54 patients (57.4%) were multiparous (average parity was 3.8). Eighteen had a scarred uterus (p=0,014). Among the causes, foeto–pelvic disproportion was observed in44.4% of patients (n=24/54) followed by the inappropriate use of oxytocin in 24.1 % (n=13/54). Complete uterine rupture was noted in 77.8%.Laparotomy was performed in all cases. The conservative treatment (suture of uterine lacerations) was done in 47cases (87%). Hysterectomy was carried out in 7 cases (13%). Five patients died (9.3%) in the intensive unit care. Fifty foetuses (92.6%) died Conclusion: Uterine rupture is an obstetrical emergency. It remains a common cause of death for the mothers and foetuses. The prevention is possible.http://www.southsudanmedicaljournal.com/archive/november-2015/uterine-ruptures-epidemiological-aspects-and-prognosis-at-ndjamena-mother-and-child-hospital.htmluterine ruptureepidemiological aspectsfoeto-maternal prognosis |
| spellingShingle | Gabkika Bray Madoue Foumsou Lhagadang Djongali Tchonchimbo Salathiel Kheba Fauba Allarehene Noudjalbaye Adamou Mana Abassi AdoumTchari Uterine ruptures: Epidemiological aspects and prognosis at N’djamena Mother and Child Hospital South Sudan Medical Journal uterine rupture epidemiological aspects foeto-maternal prognosis |
| title | Uterine ruptures: Epidemiological aspects and prognosis at N’djamena Mother and Child Hospital |
| title_full | Uterine ruptures: Epidemiological aspects and prognosis at N’djamena Mother and Child Hospital |
| title_fullStr | Uterine ruptures: Epidemiological aspects and prognosis at N’djamena Mother and Child Hospital |
| title_full_unstemmed | Uterine ruptures: Epidemiological aspects and prognosis at N’djamena Mother and Child Hospital |
| title_short | Uterine ruptures: Epidemiological aspects and prognosis at N’djamena Mother and Child Hospital |
| title_sort | uterine ruptures epidemiological aspects and prognosis at n djamena mother and child hospital |
| topic | uterine rupture epidemiological aspects foeto-maternal prognosis |
| url | http://www.southsudanmedicaljournal.com/archive/november-2015/uterine-ruptures-epidemiological-aspects-and-prognosis-at-ndjamena-mother-and-child-hospital.html |
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