Uterine rupture in Dohuk, Iraq.
Rupture of the uterus is a serious obstetric emergency endangering the life of both mother and fetus. In a study at the general hospital in Dohuk, Iraq, from January 2003 to December 2004, the incidence of ruptured uterus was 0.2% (42 out of 20 574 deliveries). The majority of these women (81%) were unbooked and had had no antenatal care. The range of parity was 1-13, median 7. The main causes were obstructed labour and previous caesarean scar (36% of cases each). The maternal mortality rate among these cases was 5% and the perinatal mortality rate was 62%. Improvements are needed in antenatal care and labour guidelines and emergency drill training for staff.
Yalda
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MA
Department of Obstetrics and Gynaecology, Azadi Teaching Hospital, Dohuk, Iraq. sylvana737@yahoo.com
Munib
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D000328:Adult; D015984:Causality; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D004630:Emergencies / Q000453:epidemiology; D005260:Female; D006301:Health Services Needs and Demand; D006784:Hospitals, Teaching; D006801:Humans; D015994:Incidence; D007226:Infant Mortality; D007231:Infant, Newborn; D007493:Iraq / Q000453:epidemiology; D008428:Maternal Mortality; D009017:Morbidity; D010298:Parity; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D011295:Prenatal Care; D014597:Uterine Rupture / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery