Predisposing factors and outcome of uterine rupture in Jos, North-central Nigeria

Simple item page
dc.contributor.authorKahansim, Makshwar L.en_US
dc.contributor.authorNyango, Dalyop D.en_US
dc.contributor.authorOyebode, Tinuade A.en_US
dc.contributor.authorEgbodo, Christopher O.en_US
dc.contributor.authorAnyaka, Charles U.en_US
dc.contributor.authorPam, Victor C.en_US
dc.date.accessioned2020-11-18T10:02:36Z
dc.date.available2020-11-18T10:02:36Z
dc.date.issued2020-09
dc.description.abstractBackground: Uterine rupture has continued to be an obstetric catastrophe with tragic maternal and foetal outcomes particularly in Nigeria.Methods: an institutional, cross sectional retrospective study was carried out at Jos University Teaching Hospital, North-Central Nigeria. Case files of mothers with uterine rupture managed at the hospital from 1 January 2011 to 31 December 2019 were retrieved and included in the study. Data extracted from case files included maternal age, parity, gestational age, booking status, presence of uterine scar, obstetric interventions prior to rupture, site of rupture, type of surgery, units of blood transfused, intensive care unit admission and duration of hospital stay and maternal or foetal death.Results: the incidence of uterine rupture was 1 in 497 deliveries (0.2%). The mean age of the patients was 30.1±5.1years. About 75% of the patients were para 1-4. Seventeen (70.8%) patients were unbooked while fourteen (58.3%) had unscarred uterine rupture. Eight out of 14(57.1%) patients with unscarred uterus had uterotonics for induction or augmentation of labour. Fourteen (58.3%) patients had rupture involving anterior lower uterine segment. Over half of the patients had uterine repair only (58.3%), 29.2% had uterine repair with bilateral tubal ligation while 12.5% had subtotal hysterectomy. Twenty-two (91.7%) required blood transfusion, five patients had 5 or more units of blood transfused. The perinatal mortality was 69.6%, there was no maternal death.Conclusions: the major predisposing factors to uterine rupture in our facility were lack of antenatal care, presence of previous caesarean section scar and injudicious use of uterotonics.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Plateau State, Nigeriaen_US
dc.identifier.citationKahansim Makshwar L., Nyango Dalyop D., Oyebode Tinuade A., Egbodo Christopher O., Anyaka Charles U., Pam Victor C.. Predisposing factors and outcome of uterine rupture in Jos, North-central Nigeria. International Journal of Research in Medical Sciences. 2020 Sep; 8(9): 3198-3202en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212651
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber9en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20203667en_US
dc.subjectJosen_US
dc.subjectNigeriaen_US
dc.subjectOutcomeen_US
dc.subjectPredisposingen_US
dc.subjectRuptureen_US
dc.subjectUterineen_US
dc.titlePredisposing factors and outcome of uterine rupture in Jos, North-central Nigeriaen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijrms2020v8n9p3198.pdf
Size:
132.71 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Research in Medical Sciences