Determinants of uterine rupture in Dessie Referral Hospital, North East Ethiopia, 2016: case control design

Workie, Amare; Getachew, Yemmiamrew; Temesgen, Kibir; Kumar, Prasoon

doi:10.18203/2320-1770.ijrcog20181900

Cited by 12 publications

(34 citation statements)

References 15 publications

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“…Eze et al in Nigeria found 88.2% 3 and Workie and al in Canada, 76.2%. 6 In present case, it is mainly because of the predominance of the referred cases.…”

Section: Discussionmentioning

confidence: 76%

“…8 Indeed, patients with a history of cesarean section have a higher risk of uterine rupture (OR = 6-13,60). 6,9 This disparity could be explained by the delay of reference to patients after attempted vaginal route delivery outside the hospital, knowing that we found that this situation is responsible for 62.86% of uterine rupture.…”

Section: Discussionmentioning

confidence: 86%

“…3 In Ethiopia, this rate is much higher (0.3%-2.4%). 6 Jain and al has found a frequency of 0.84% in India. 7 On the other hand, this rate largely exceeds studies conducted in Taiwan (0.017%).…”

Section: Discussionmentioning

confidence: 96%

“…In Israel and Ethiopia, the age of the onset of uterine rupture was similar. 6,9 In the literature, age is not associated with the occurrence of uterine rupture. 10,11 In three-quarters of the cases, the patients were pauciparous.…”

Section: Discussionmentioning

confidence: 99%

“…Unlikely to Workie and al in Canada, where uterine rupture occurred among women living in more distant rural areas in 94.2%. 6 The prevalence of traditional delivery practices (by matrons) in Madagascar may explain this difference. Some patients only come to the hospital in case of complications.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiological profile, maternal and neonatal issue of uterine rupture at the Befelatanana Obstetrics and Gynecology University Hospital

Ratsiatosika

Romuald

Ravelojaona

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Uterine rupture is an obstetric emergency. It involves the life of the mother and the fetus. The main objective of this study was to describe the epidemiological-clinical profile of uterine rupture in Befelatanana Obstetrics and Gynecology University Hospital from January 2016 to April 2018.Methods: This is a retrospective and descriptive study conducted from January 1, 2016 to April 30, 2018 at the Befelatanana Hospital Centre of Gynecology-Obstetrics. All pregnant patients with uterine rupture were included.Results: We recorded 35 cases of uterine rupture in 13184 deliveries with a prevalence of 2.65%. The average age was 27.69±6.21 years old. More than half of the pregnant women attended at least four prenatal care consultations. Uterine rupture occurred after a vaginal delivery attempt outside the centre in 62.86%. There were 77.14% cases occurring on non-scarred uterus and 14.29% on mechanical dystocia. A case of fetal macrosomia has been reported. There were 28.57% maternal deaths and 51.43% perinatal deaths, half of which were fetal deaths in utero and the other half were early neonatal deaths.Conclusions: Uterine rupture remains high in Madagascar. Quality antenatal care and training of the personal would be needed.

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“…Eze et al in Nigeria found 88.2% 3 and Workie and al in Canada, 76.2%. 6 In present case, it is mainly because of the predominance of the referred cases.…”

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Epidemiological profile, maternal and neonatal issue of uterine rupture at the Befelatanana Obstetrics and Gynecology University Hospital

Ratsiatosika

Romuald

Ravelojaona

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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The Mode of delivery of grand multiparous with post-cesarean single uterine scar in low resources settings: A retrospective cohort study

Valère

Belinga

Adolphe

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

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The prevalence of post-caesarean scar uterus, the most important risk factor of uterine rupture is increasing globally. Grand multiparity can also increase the risk of uterine rupture. The issue of grand multiparous with single post caesarean scar is poorly investigated. Objectives The purpose of this study was to assess the factors associated with the mode of delivery of grand multiparous with post caesarean single uterine scar in low resources settings. Patients and Method It was a retrospective cohort study conducted from the 1 st January to the 31 st of May 2016, in three university teaching hospitals of the university of Yaoundé I in Cameroon. Grand multiparous (GMP) defined as parity ≥5 with single post-caesarean lower segment uterine scar admitted at a gestational age of 37 completed weeks and above were compared to grand multiparous without scar uterus at term. GMP with unknown scar were excluded. The mode of delivery and materno-fetal and neonatal outcome were investigated. Results We included 33 GMP with single lower segment uterine scar and 120 GMP without uterine scar. Induction of labor and acute fetal distress were not related to having a scar or not in grand GMP, but augmentation of labor was less likely to be conducted in case of GMP with scar uterus(p = 0.08). The frequency of vaginal delivery was 75.8 and 87.5% in grand multiparous with and without uterine scar respectively (OR 0.17–1.16; P = 0.085), with one case of instrumental delivery in scarless group. However, single scar multiparity status increased by 2.42 folds the risk of delivery by caesarian section (P = 0.066). Cephalo-pelvic disproportion increased the indication of caesarian section by 12-fold in the GMP with scar group (p = 0.031), but mechanical dystocia related indications (CPD, macrosomia,) were present in only 4 cases out of 8 caesarian sections in the exposed group. The Apgar score at the fifth minute was better in the GMP with scar group. (p = 0.037). Conclusion Grand multiparous with single post-cesarean uterine scar should be given a chance of vaginal delivery in the absence added feto-maternal morbidity.

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Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis

Alemu

Bitew

Gelaw

et al. 2020

Sci Rep

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Uterine rupture is a serious public health concern that causes high maternal and perinatal morbidity and mortality in the developing world. Few of the studies conducted in Ethiopia show a high discrepancy in the prevalence of uterine rupture, which ranges between 1.6 and 16.7%. There also lacks a national study on this issue in Ethiopia. This systematic and meta-analysis, therefore, was conducted to assess the prevalence and determinants of uterine rupture in Ethiopia. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic review and meta-analysis of studies. All observational published studies were retrieved using relevant search terms in Google scholar, African Journals Online, CINHAL, HINARI, Science Direct, Cochrane Library, EMBASE and PubMed (Medline) databases. Newcastle–Ottawa assessment checklist for observational studies was used for critical appraisal of the included articles. The meta-analysis was done with STATA version 14 software. The I2 test statistics were used to assess heterogeneity among included studies, and publication bias was assessed using Begg's and Egger's tests. Odds ratio (OR) with a 95% confidence interval (CI) was presented using forest plots. A total of twelve studies were included in this study. The pooled prevalence of uterine rupture was 3.98% (95% CI 3.02, 4.95). The highest (7.82%) and lowest (1.53%) prevalence were identified in Amhara and Southern Nations, Nationality and Peoples Region (SNNPR), respectively. Determinants of uterine rupture were urban residence (OR = 0.15 (95% CI 0.09, 0.23)), primipara (OR = 0.12 (95% CI 0.06, 0.27)), previous cesarean section (OR = 3.23 (95% CI 2.12, 4.92)), obstructed labor(OR = 12.21 (95% CI 6.01, 24.82)), and partograph utilization (OR = 0.12 (95% CI 0.09, 0.17)). Almost one in twenty-five mothers had uterine rupture in Ethiopia. Urban residence, primiparity, previous cesarean section, obstructed labor and partograph utilization were significantly associated with uterine rupture. Therefore, intervention programs should address the identified factors to reduce the prevalence of uterine rupture.

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Determinants of uterine rupture in Dessie Referral Hospital, North East Ethiopia, 2016: case control design

Cited by 12 publications

References 15 publications

Epidemiological profile, maternal and neonatal issue of uterine rupture at the Befelatanana Obstetrics and Gynecology University Hospital

Epidemiological profile, maternal and neonatal issue of uterine rupture at the Befelatanana Obstetrics and Gynecology University Hospital

The Mode of delivery of grand multiparous with post-cesarean single uterine scar in low resources settings: A retrospective cohort study

Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis

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