Uterine rupture--an analysis of 81 cases in Conakry/Guinea.
Eighty-one cases of uterine rupture in Conakry/Guinea are analyzed. With an incidence of 0.84%, i.e. 1 per 119 deliveries, uterine rupture is still a common problem in this region. In this analysis fetal mortality was found to be 75.3% and maternal mortality 20.9%. Mortality rates were statistically higher after hysterectomy than after repair. Other etiologic factors were extreme multiparity and an inadequate transfer system to the obstetric centers. A reduction of uterine rupture rates can be achieved by prevention of extreme multiparity (more than 4 deliveries) and of home deliveries and decentralization of obstetric services into peripheral units and villages.
Balde
M D
MD
Department of Gynecology, University of Heidelberg, FRG.
Breitbach
G P
GP
Bastert
G
G
D000293:Adolescent; D000328:Adult; D000354:Africa, Western; D005260:Female; D006700:Home Childbirth; D006785:Hospitals, University; D006801:Humans; D007044:Hysterectomy; D015994:Incidence; D007226:Infant Mortality; D007231:Infant, Newborn; D010298:Parity; D010360:Patient Transfer; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D014597:Uterine Rupture / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery