Surgical management of ruptured gravid uterus in Bida, North Central Nigeria.
Thirty-eight consecutive unbooked patients with ruptured gravid uterus (RGU) were studied over a four-year period, 2001-2005, at Federal Medical Centre, Bida, Nigeria. The total number of deliveries during the period was 4644. Nineteen patients had subtotal hysterectomy, and 19 had repair of RGU+/-sterilization. All patients had either one form of postoperative complication or the other; many had multiple complications ranging from hypovolaemia, 38 (100%); wound infection, 21(56.3%); septicaemia, five (3.2%); prolonged hospital stay > 10 days, 24 (63.2%) and vesico-vaginal fistula, two(10.5%). Perinatal mortality was 38 (100%) while maternal mortality was five (13.2%). There were no statistically significant differences in morbidity and mortality indices in patients who had subtotal hysterectomy and repair of RGU.
Ojenuwah
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SA
Department of Obstetrics & Gynaecology, Federal Medical Centre, PMB 14, Bida, Nigeria. Ogafe1166@yahoo.co.uk
Olowosulu
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RO
D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007044:Hysterectomy; D015994:Incidence; D008428:Maternal Mortality; D009017:Morbidity; D009549:Nigeria / Q000453:epidemiology; D010298:Parity; D011247:Pregnancy; D016896:Treatment Outcome; D014597:Uterine Rupture / Q000453:epidemiology* / Q000401:mortality / Q000517:prevention & control / Q000601:surgery*