Uterine rupture: A review of 15 Cases at Bandier maternity hospital in Somalia
Background: Uterine rupture is a deadly obstetrical emergency endangering the life of both mother and fetus.
Objective: To determine the frequency of ruptured uterus at Bandier Hospital and to elicit possible causes and type of management.
Methods: It was cross sectional and hospital based descriptive study implemented during a time period of six months (July – December 2013) in Bandier maternity hospital and a total of 15 women presented with rupture uterus during the period of the study were included.
Results: There were 15 cases of ruptured uterus out of a total of 2142 deliveries. Incidence of uterine rupture was found to be 0.7%. The mean age of women was 30.03 ± 4.55 years. Concerning risk factors for rupture uterus, 10 (66.7%) had previous uterine surgery, obstructed labor was found in 33.3%, and oxytocin was used in 46.7% of respondents. Repair was done for 8 (53.3%), 3 (20.6%) of respondents underwent total abdominal hysterectomy and 4 (26.7%) were ended by subtotal hysterectomy.
Conclusions: Previous uterine surgery, obstructed labour and improper use of oxytocin increase the risk of uterine rupture in this study. Half of the patients underwent hysterectomy.
Fofie C, Baffoe P. A two-year review of uterine rupture in a regional hospital. Ghana Med J. 2010 Sep;44(3):98-102.
Hofmeyr GJ, Say L, Gulmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG. 2005 Sep;112(9):1221-8.
Guise JM, McDonagh MS, Osterweil P, Nygren P, Chan BK, Helfand M. Systematic review of the incidence and consequences of uterine rupture in women with previous caesarean section. BMJ. 2004 Jul 3;329(7456):19-25.
Diaz SD, Jones JE, Seryakov M, Mann WJ. Uterine rupture and dehiscence: ten-year review and case-control study. South Med J. 2002 Apr;95(4):431-5.
Al Qahtani NH, Al Hajeri F. Pregnancy outcome and fertility after complete uterine rupture: a report of 20 pregnancies and a review of literature. Arch Gynecol Obstet. 2011 Nov;284(5):1123-6.
Sugawara T, Ogawa M, Tanaka T. Repair of Uterine Rupture during Second Trimester Leading to Successful Pregnancy Outcome: Case Study and Literature's Review. AJP Rep. 2014 May;4(1):9-12.
Khan S, Parveen Z, Begum S, Alam I. Uterine rupture: a review of 34 cases at Ayub Teaching Hospital Abbottabad. J Ayub Med Coll Abbottabad. 2003 Oct-Dec;15(4):50-2.
Ekpo EE. Uterine rupture as seen in the University of Calabar Teaching Hospital, Nigeria: a five-year review. J Obstet Gynaecol. 2000 Mar;20(2):154-6.
Valiton-Crusi A. [Uterine rupture: literature review and Genevan experience (1980-1994)]. Rev Med Suisse Romande. 1996 Apr;116(4):273-6.
Chen LH, Tan KH, Yeo GS. A ten-year review of uterine rupture in modern obstetric practice. Ann Acad Med Singapore. 1995 Nov;24(6):830-5.
Koo FH, Chao ST, Wang PH, Wang HI, Shen SH, Chen CY, et al. Delayed postpartum hemorrhage secondary to idiopathic rupture of right uterine artery: a case report and literature review. Taiwan J Obstet Gynecol. 2014 Jun;53(2):276-8.
Hicks P. Systematic review of the risk of uterine rupture with the use of amnioinfusion after previous cesarean delivery. South Med J. 2005 Apr;98(4):458-61.
Fatfouta I, Villeroy de Galhau S, Dietsch J, Eicher E, Perrin D. [Spontaneous uterine rupture of an unscarred uterus during labor: case report and review of the literature]. J Gynecol Obstet Biol Reprod (Paris). 2008 Apr;37(2):200-3.
Copyright (c) 2015 Acta Medica Scientia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
A) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
B) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
C) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).