Risk factors for ruptured uterus in Mulago hospital Kampala, Uganda.
OBJECTIVE
To determine the risk factors for ruptured uterus.


METHODS
A case control study.


METHODS
Mulago Hospital labour wards, Kampala, Uganda.


METHODS
Fifty two women with ruptured uterus were recruited between 15th November 2001 and 30th November 2002 and were compared with 500 mothers with normal delivery.


RESULTS
The predictors for ruptured uterus were low socio-economic (OR 2.5, 95% CI 1.2-7.1), residing more than ten kilometres from Mulago hospital (OR 6.7, 95% CI 2.1-21.2). Delivery by Caesarean section in previous pregnancy (OR 22.3, 95% CI 9.2-54.2) delivery of babies weighing more than 3500 grams (OR 2.4, 95% CI 1.2-7.2) and testing HIV positive (OR 3.2, 95% CI 1.5-7.2).


CONCLUSIONS
Uterine rupture is still common in our society and is associated with severe maternal morbidity and mortality. There is need for women to use maternity units during pregnancy and delivery, to monitor labour using a partograph and timely intervention of delivery will prevent uterine rupture.
Walter Sisulu University, Private Bag Xl Unitra, Mthatha 5117, South Africa.
J
J
Wandabwa
P
P
Doyle
J
J
Todd
P
P
Kiondo
M A
MA
Wandabwa
F
F
Aziga
D016022:Case-Control Studies; D004522:Educational Status; D004632:Emergency Medical Services; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D011247:Pregnancy; D012307:Risk Factors; D012959:Socioeconomic Factors; D014454:Uganda / Q000453:epidemiology; D014597:Uterine Rupture / Q000453:epidemiology / Q000209:etiology*