1. Ruptured uterus: the unabating obstetric catastrophe in South eastern Nigeria
- Author
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Chidi Ochu Uzoma Esike, GO Igberase, O U J Umeora, and Justus N. Eze
- Subjects
Adult ,medicine.medical_specialty ,Population ,Uterus ,Nigeria ,Obstetrical surgery ,Young Adult ,Uterine Rupture ,Pregnancy ,medicine ,Humans ,education ,Retrospective Studies ,Gynecology ,education.field_of_study ,Obstetrics ,Genitalia.female ,business.industry ,Incidence ,Obstetrics and Gynecology ,Ruptured uterus ,General Medicine ,medicine.disease ,Perinatal morbidity ,medicine.anatomical_structure ,Maternal Mortality ,Female ,business ,South eastern - Abstract
Ruptured uterus is an obstetric catastrophe and results in significant maternal and perinatal morbidity and mortality in Nigeria.To review the incidence and management of ruptured uterus over the 8-year period (2000-2004 and 2007-2009) and analysis of records of cases of ruptured uterus during the period under review in a descriptive study.The incidence of uterine rupture is 1 in 81 deliveries with a contribution of 13.8% to maternal mortality in Ebonyi State University Teaching Hospital, Nigeria. There was high fetal wastage as 99 (97.1%) of the babies died. The highest incidence of ruptured uterus was found in the para 2-4 group. Teenagers constituted 4 (3.96%) of the cases. Majority of the rupture, 69 (65.4%) occurred anteriorly. Fifty-seven (56.4%) had only repair of the rupture done. The greatest complication was septicemia, which occurred in 32 (31.7%) of the patients.The incidence of uterine rupture is very high in our center. It is one of the highest causes of maternal and perinatal morbidity and mortality. There should be a multi-pronged effort aimed at improving the utilization of medical services by the populace and the health institutions offering efficient obstetric emergency care.
- Published
- 2010