Labor outcome of juvenile primiparae in a population with a high incidence of contracted pelvis

Fisk, Nick; Shweni, P Mike

doi:10.1016/0020-7292(89)90536-5

Cited by 13 publications

(6 citation statements)

References 9 publications

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“…Similar findings have been documented by some workers in other African populations (Fisk and Shweni, 1989). This may partly be accounted for by the relatively high overall occurrence of cephalopelvic disproportion in our environment (Okonofua et al, 1988).…”

Section: Discussionsupporting

confidence: 85%

Pregnancy in teenagers in Ile-Ife, Nigeria–problems and perinatal outcome

Ogunniyi

Dare

Makinde

et al. 1991

Journal of Obstetrics and Gynaecology

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A nine year review in a Nigerian teaching hospital revealed that teenagers were responsible for 5.9 per cent of ectopic pregnancies, 14.7 per cent of spontaneous abortions, 59.9 per cent of illegal abortions and 3.7 per cent of all deliveries, and accounted for 11.5 per cent of maternal deaths. Among the teenagers whose pregnancies were carried to viability, the incidences of premature rupture of the membranes, preterm labour, pre-eclampsia and eclampsia were increased compared to the general obstetric population. Moreover, there was a higher caesarean section rate, increased low birth weight and perinatal mortality rates and a lower mean birth weight compared to the general obstetric population. The maternal morbidity and perinatal outcome were worse among the unbooked teenagers, the unmarried and among those aged 13-16 years.

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Section: Discussionsupporting

confidence: 85%

Pregnancy in teenagers in Ile-Ife, Nigeria–problems and perinatal outcome

Ogunniyi

Dare

Makinde

et al. 1991

Journal of Obstetrics and Gynaecology

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“…Black African women have a high incidence of contracted pelvis 4 . Juveniles in a population with a high incidence of contracted pelvis were found to be at high risk of obstetric complications 5 . Other risk factors for uterine rupture include multiparity and particularly grand multiparity, 6 the use of uterotonic drugs to induce or augment labour, placenta percreta 7 and rarely intrauterine manipulations such as internal podalic version and breech extraction.…”

Section: Introductionmentioning

confidence: 99%

SYSTEMATIC REVIEW: WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture

Hofmeyr

Say²,

Gülmezoglu³

2005

BJOG

288

110

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Objective To determine the prevalence of uterine rupture worldwide.Design Systematic review of all available data since 1990.Setting Community-based and facility-based reports from urban and rural studies worldwide.Sample Eighty-three reports of uterine rupture rates are included in the systematic review. Most are facility based using cross-sectional study designs. Methods Following a pre-defined protocol an extensive search was conducted of 10 electronic databases as well as other sources. Articles were evaluated according to specified inclusion criteria. Uterine rupture data were collected along with information on the quality of reporting including definitions and identification of cases. Data were entered into a database and tabulated using SAS software. Main outcome measures Prevalence of uterine rupture by country, period, study design, setting, participants, facility type and data source.

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“…Fetal bradycardia followed by fetal death and loss of fetal station are the fetal manifestations. [13] This obstetric complication is associated with maternal morbidities & mortality. Bladder rupture, major puerperal infections, severe post hemorrhagic anemia, vesicovaginal fistula, rectovaginal fistula, psychological trauma & in long term because of the surgical intervention, the woman may be sterilized which can lead to divorce and loss of economic support.…”

Section: Introductionmentioning

confidence: 99%

Uterine Rupture: A Two-Year Review at a Teaching Institution

Ghadei¹,

Behera²

2017

AIMDR

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Background: To determine the socio-demographic and obstetric causes of uterine rupture, the case fatality rate and association of these factors with maternal mortality among patients of uterine rupture. Methods: A retrospective study between January 2010 to December 2011. Result: During the study period, 18637 deliveries were conducted and 69 cases of uterine rupture were admitted giving the incidence of 0.37% of deliveries. Of the 69 women 53.5% had spontaneous uterine rupture. Among these the most frequent factor (40.5%) was mismanaged labour leading to prolonged & then obstructed labour. The case fatality rate was 10.1%. Factors like age, parity, status of antenatal care, site of rupture & presence of shock did not show any statistically significant association with maternal mortality from uterine rupture. Conclusion: A more vigilant approach to prevent prolonged and obstructed labour in delivery units around SCB medical college is required to reduce the incidence of this condition. Strengthening emergency obstetric care at all level of health care delivery system can help in anticipation, early diagnosis and resuscitation to reach the referral centre safely, thereby reducing the case fatality rate of uterine rupture.

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Labor outcome of juvenile primiparae in a population with a high incidence of contracted pelvis

Cited by 13 publications

References 9 publications

Pregnancy in teenagers in Ile-Ife, Nigeria–problems and perinatal outcome

Pregnancy in teenagers in Ile-Ife, Nigeria–problems and perinatal outcome

SYSTEMATIC REVIEW: WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture

Uterine Rupture: A Two-Year Review at a Teaching Institution

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