Uterine rupture: A review of 15 Cases at Bandier maternity hospital in Somalia

  • Awad Ali M. Alawad Department of Surgery, Faculty of Medicine, University of Medical Sciences and Technology
  • Siddig Omer Handady Department of Obstetrical and Gynecology Imperial Hospital, Khartoum
  • Hajar Hassan Sakin Department of Obstetrical and Gynecology Royal Hayat Hospital, Elkwait
Keywords: Uterine Rupture, previous uterine surgery, obstructed labour

Abstract

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.

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Published
2015-07-09
How to Cite
1.
Alawad AA, Handady S, Sakin H. Uterine rupture: A review of 15 Cases at Bandier maternity hospital in Somalia. AMS [Internet]. 9Jul.2015 [cited 21Feb.2020];2(5):82-4. Available from: http://asdpub.com/index.php/ams/article/view/189
Section
Original Articles

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