Rupture of the Gravid Uterus in Ile-Ife, Nigeria
| Autor: | B L Faleyimu, O O Makinde, Solomon O. Ogunniyi |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030231 tropical medicine Population Nigeria 03 medical and health sciences 0302 clinical medicine Uterine Rupture Pregnancy Humans Medicine Childbirth 030212 general & internal medicine education Gynecology education.field_of_study Hysterectomy Genitourinary system business.industry Obstetrics Mortality rate Public Health Environmental and Occupational Health medicine.disease Uterine rupture Infectious Diseases Female Maternal death business |
| Zdroj: | Tropical Doctor. 20:188-189 |
| ISSN: | 1758-1133 0049-4755 |
| DOI: | 10.1177/004947559002000425 |
| Popis: | To study cases of ruptured gravid uterus in Ile-Ife, Nigeria, medical records were examined. From January 1979 to December 1986, the records indicated 30,511 deliveries and 120 cases of ruptured uterus; the incidence rate was 0.4%. 112 patient records were studied. Findings included a mean patient age of 28.5 for 4.0 years, parity of 3-4 children (42%), 74% unbooked cases, and 29 booked cases. 41% of the booked cases had previous cesarean sections. 88% of the patients' labor started at home. Spontaneous uterine rupture occurred in 75% of the cases; 58% had complications of feto-pelvic disproportion and grand multiparity (30%). 15% of booked and unbooked patients had previous cesarean sections. Additional findings include iatrogenic rupture in 10% of the cases, involvement of lower uterine segment in 82%, lacerated urinary bladder (14%). Surgical procedures employed included uterine repair (50%), subtotal hysterectomy (25%), and total hysterectomy (24%). Patients receiving total hysterectomy had a mortality rate of 4% compared to 21% of all other groups. The most common maternal complications included maternal death (17%), prolonged hospital stay (58%), wound sepsis (32%), genital tract sepsis (26%), and septicemia (10%). The primary causes of death were septicemia and hemorrhagic shock. Booked patients had low mortality rates (10%) compared to unbooked patients (19%). The perinatal mortality rate was 94%. It is suggested that adequate, affordable antenatal and delivery care could decrease the complications involved with uterine rupture. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|