title: An analysis of uterine rupture at the Nnamdi Azikiwe University Teaching Hospital Nnewi, Southeast Nigeria.
abstract: OBJECTIVE
  Uterine rupture is a preventable condition which has persistently remained in our environment. The aim of this study therefore is to ascertain the incidence of uterine rupture, examine the predisposing factors and maternal and fetal outcome of patients managed of uterine rupture in a tertiary hospital.
  
  
  METHODS
  This descriptive case series was conducted at the department of Obstetrics and Gynaecology, Nnamdi Azikiwe, University Teaching Hospital Nnewi from March 2004 to February 2009.
  
  
  RESULTS
  The incidence of uterine rupture was 6.2 per 1000 deliveries. The commonest age range of occurrence was 30-34 years. Uterine rupture occurred predominantly among women of low parity. Previous caesarean section with concurrent use of oxytocics was the commonest risk factor documented.The maternal and perinatal mortality ratio was 94 per 100,000 deliveries and 6 per 1000 births respectively. Surgery was the main stay of treatment and the commonest procedure carried out was uterine repair only.
  
  
  CONCLUSIONS
  Rupture of the gravid uterus is still a significant cause of maternal mortality and morbidity in our environment. The causes are commonly preventable. The provision of maternal care by skilled personnel, proper antenatal care, update training programmes for health care providers and appropriate legislation on maternal care will significantly reduce the incidence of uterine rupture and improve its prognosis.
authors.affiliation: Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
authors.forename: S U
authors.initials: SU
authors.lastname: Mbamara
authors.forename: Nja
authors.initials: N
authors.lastname: Obiechina
authors.forename: G U
authors.initials: GU
authors.lastname: Eleje
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008875:Middle Aged; D009549:Nigeria; D011247:Pregnancy; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D014597:Uterine Rupture / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D055815:Young Adult