title: Primary repair of obstetric uterine rupture can be safely undertaken by non-specialist clinicians in rural Ethiopia: a case series of 386 women.
abstract: We report 386 consecutive cases of uterine rupture over a 10-year period, revealing a case fatality rate of 4.8%, which is significantly less than the 16-37% fatality rate published in the literature. Primary uterine repair, which was carried out by non-specialised doctors in 43% of cases, was the treatment for 98% of women, and appears to be simple and effective. The main predictor of death from uterine rupture was a treatment delay of more than 12 hours from the presumed time of rupture (OR 7.7; 95% CI 1.02-58.4).
authors.affiliation: Gimbie Adventist Hospital, Gimbie, West Wollega, Ethiopia, UK.
authors.forename: W
authors.initials: W
authors.lastname: Alemayehu
authors.forename: K
authors.initials: K
authors.lastname: Ballard
authors.forename: J
authors.initials: J
authors.lastname: Wright
mesh_terms: D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000601:surgery*; D009774:Obstetrics / Q000706:statistics & numerical data*; D061214:Patient Safety; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012423:Rural Health; D014597:Uterine Rupture / Q000401:mortality / Q000601:surgery*