title: Ruptured uterus in Kaduna, Nigeria: a six-year review.
abstract: A six year review in a Nigerian University Teaching Hospital revealed that the incidence of ruptured uterus is 1 per 137 deliveries. The mean age of patients was 30.5 years. Ruptured uterus occurred in younger women with a scarred uterus compared with the unscarred group. The incidence of ruptured uterus was highest in women who were para 5 and above. Cephalopelvic disproportion was the most important obstetric factor associated with rupture (63.4%). Abdominal tenderness (46.3%), vaginal bleeding (31.7%) and pallor (31.7%) were the commonest clinical features at presentation. Shock (22%) was commonest in the unscarred group. Repair with tubal sterilisation was the commonest method of treatment. Diarrhoea was the commonest postoperative complication (39%). Maternal and perinatal mortality rates were 22% and 88% respectively. Improving the emergency capability of the hospital and more efforts at educating our women and reducing poverty will go a long way towards reducing the incidence and adverse clinical outcome of ruptured uterus.
authors.affiliation: Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Kadune, Nigeria.
authors.forename: P
authors.initials: P
authors.lastname: Onwuhafua
authors.forename: A
authors.initials: A
authors.lastname: Onwuhafua
authors.forename: D
authors.initials: D
authors.lastname: Omekara
authors.forename: R
authors.initials: R
authors.lastname: Ibrahim