title: Ruptured uterus in a primigravida: a case report.
abstract: Maternal mortality and morbidity have remained very high in the developing countries and one of its commonest causes is ruptured uterus, which in a primigravida is rather unusual. The patient reported was a primigravida with no previous uterine scar who had prenatal care and delivery of a live male infant at a private clinic in Ibadan. The identifiable aetiological factors in this case are pitocin augmentation and manual removal of the placenta. Fortunately, a timely exploratory laparatomy averted another mortality. This is not usually the case in the majority of high-risk patients labouring outside a proper hospital setting consequent upon a declining economy and the rising influence of religion. Methods to reduce this obstetric catastrophy are discussed.
authors.affiliation: Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
authors.forename: O A
authors.initials: OA
authors.lastname: Roberts
authors.forename: M S
authors.initials: MS
authors.lastname: Owolabi
mesh_terms: D000328:Adult; D005260:Female; D020073:Gravidity; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000401:mortality / Q000517:prevention & control; D011295:Prenatal Care / Q000592:standards*; D014597:Uterine Rupture / Q000175:diagnosis / Q000401:mortality / Q000517:prevention & control