Ebonyi Medical Journal

Log in or Register to get access to full text downloads.

Remember me or Register

DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Ruptured Uterus At Afikpo, Southeast Nigeria.

JN Eze, PC Ibekwe


Context: Ruptured uterus is an obstetric catastrophe associated with high maternal and perinatal mortality.
Objectives: To determine the incidence, causes, management and fetomaternal outcomes
of ruptured uterus in Afikpo, Southeast Nigeria.
Methods: Delivery records, theatre registers and case notes of all ruptured uterus seen at
Mater Hospital Afikpo, between January 2001 and December 2007 were analyzed.
Results: Fifty one cases (1.2%) of ruptured uterus occurred out of 4,361 deliveries, giving
an incidence ratio of 1:86. Mothers aged 30-34 years, multiparous and un-booked were
worse affected. Multiple predisposing factors were noted with obstructed labour,
mismanagement, grand multiparity and previous caesarean scars recorded in decreasing
order. Uterine repair alone was performed in 88.2% of cases. Maternal mortality was
5.9% and perinatal mortality 84.6%. The incidence appears to be rising.
Conclusion: Provision of quality antenatal care and emergency obstetric care in secondary
hospitals, and supervision of Traditional Birth Attendants will reduce this menace.

Keywords:Antenatal, Care, emergency, maternal, perinatal, quality.

Ebonyi Medical Journal Vol. 7 (1&2) 2008: pp. 36-41
AJOL African Journals Online