Uterine rupture in Nigeria.
Uterine rupture in the developing world remains a significant problem. We treated 45 such cases. The predisposing factors included cephalopelvic disproportion (62%), grand multiparity (33%), previous cesarean section (24%), placental pathology (15%) and abnormal presentation (20%). The factors associated with maternal death included sepsis (71%), macerated stillborn infant (60%), vulvar edema (50%), hand presentation (50%), prolonged labor (42%) and hysterectomy (37.5%). Hemodynamic resuscitation and prompt surgical intervention remain the mainstays of therapy.
D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007746:Labor Presentation; D007743:Labor, Obstetric; D008875:Middle Aged; D009549:Nigeria; D010298:Parity; D010922:Placenta Diseases / Q000150:complications; D011247:Pregnancy; D011295:Prenatal Care; D013997:Time Factors; D014597:Uterine Rupture / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000473:pathology