Estimates of Uterine Rupture Bad Outcomes Using Propensity Score and Determinants of Uterine Rupture in Mizan-Tepi University Teaching Hospital: Case Control Study

Abstract

Background Uterine rupture is a tear in the wall of uterus which carries grave risks to the mother as well as her baby. Objectives To estimate uterine rupture bad outcomes using propensity score and its determinants in Mizan-Tepi University teaching hospital. Methods A case control study on 363 participants, 121 cases and 242 controls, was conducted. Data was analyzed by STATA 14. Propensity score matching analysis was used to see causes. Level of significance of p value is ≤0.05. Results Females who reside in rural areas (AOR = 3.996; 95% CI: 2.011, 7.940) are at higher risk of acquiring uterine rupture. Females who had ANC follow-up (AOR = 0.315; 95% CI: 0.164, 0.606) and preterm gestational age (AOR = 0.135; 95% CI: 0.025, 0.725) are at lower risk of developing uterine rupture. Propensity score matching analysis shows that, from 100 participants who had uterine rupture, 88.4 females lost their fetus (β = 0.884; 95% CI: 0.827, 0.942). From 100 females who develop uterine rupture, 9.1 died (β = 0.091; 95% CI: 0.040, 0.142). From 100 females who develop uterine rupture, 97.5 developed additional obstetric complication (β = 0.975; 95% CI: 0.947, 1.000). Conclusion Residence, ANC follow-up, and gestational age are significant determinants of uterine rupture. Fetal loss, maternal death, and obstetric complications are significant bad outcomes of uterine rupture.

Management Outcome of Uterine Rupture and Associated Factors in Yirgalem General and Teaching Hospital, Southern Ethiopia: A Cross-Sectional Study

“…This finding is consistent with the studies conducted in Suhul General Hospital at Tigrai, Mizantepi Hospital, and Nnamdi Azikiwe University Teaching Hospital Nnewi, Southeast Nigeria [7,12,13].…”

“…Stillbirth: The expulsion of a dead fetus and/or weighing at least 1kg with an absence of breathing, heartbeats, pulsation of the umbilical cord with a rupture uterus [5]. Poor outcome: Mothers with uterine rupture who did not survive or developed severe complications after operative management for uterine rupture [12].…”

“…Like any other obstetric emergencies, maternal and fetal deaths occurring due to uterine rupture are occurring largely a result of in proper and delay management [12][13][14][15][16][17]. Overall, few studies were available nationally about management outcome of uterine rupture.…”

Determinants of uterine rupture among mothers who gave birth in Jinka and Arba Minch General Hospitals, institution-based case–control study, Southern Ethiopia, Ethiopia, 2019

“…[6][7][8][9] In Ethiopia, its prevalence ranges from 1.2% to 9.5%. 6,9,10 Although its prevalence is low, it could lead to adverse maternal and fetal outcome. In Ethiopia, it is the first leading cause of maternal mortality, accounting for 18.8% to 36% of all maternal deaths.…”

Prevalence and predictors of uterine rupture among Ethiopian women: A systematic review and meta-analysis

“…All studies were conducted in five regions of Ethiopia. Of these studies, five were from Amhara region [ 16 , 22 , 25 , 39 , 40 ] another four from Southern Nations, Nationalities and Peoples Representative (SNNPR) [ 18 , 21 , 23 , 41 ], four from Tigray [ 4 , 24 , 37 , 42 ], two from Oromia [ 19 , 20 ], and the remained one [ 43 ] was from Addis Ababa ( Table 1 ).…”