Analysis of ruptured uterus in Debre Markos Hospital, Ethiopia.
OBJECTIVE
To determine the incidence of uterine rupture in a rural hospital and to examine its cause, type and outcome.


METHODS
A prospective study.


METHODS
Debre Markos Hospital, Ethiopia.


METHODS
All patients who were admitted and operated on for uterine rupture in the above mentioned hospital over a period of two years.


METHODS
Parity, whether an attempt was made to deliver them preoperatively, diagnosis at admission, vital sign status on admission and type of operation.


RESULTS
There were a total of 1830 deliveries and seventy uterine rupture cases. Frequency of occurrence of uterine rupture was 3.8% or one in 26 deliveries. The peak incidence was between 25 to 29 years. Mean parity was 3.6 and grand multiparas (>5) accounted for most (34.2%). Intraoperatively 62 were found to have complete and eight incomplete rupture with 54.3% anterior rupture. Hysterectomy was done for 57 and repair for 13. The postoperative complication rate was 24.3%, sepsis being the most common cause of death.


CONCLUSIONS
Uterine rupture is relatively common mainly as a result of obstructed labour and multiparity. Improved healthcare delivery, accesss to prenatal care and family planning will improve the situation.
Admassu
A
A
Bethzata Medical Centre, P.O. Box 55, Addis Ababa, Ethiopia.
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D006780:Hospitals, Rural; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D014597:Uterine Rupture / Q000453:epidemiology* / Q000209:etiology* / Q000628:therapy