Frequency of Uterine Rupture and Its Maternal and Fetal Outcomes of Uterine Rupture among Pregnant Women: Uterine Rupture among Pregnant Women

Aisha Seher; Arifa Yousafzai; Zakia Minhas; Sumera Brohi; Mehvish Masood; Maryum Noor; Adnan Fazal

doi:10.54393/pjhs.v4i10.1115

Authors

Aisha Seher Department of Gynecology and Obstetrics, National Medical Center, Karachi, Pakistan
Arifa Yousafzai Department of Gynecology and Obstetrics, THQ Hospital, Topi Sawabi, Pakistan
Zakia Minhas Department of Health, Peshawar, Pakistan
Sumera Brohi Department of Gynecology and Obstetrics, Shaikh Zaid Women Hospital, Larkana, Pakistan
Mehvish Masood Department of Gynecology and Obstetrics, Combined Military Hospital, Sargodha, Pakistan
Maryum Noor Department of Gynecology and Obstetrics, Shifa Tamer E Milat University, Islamabad, Pakistan
Adnan Fazal Department of Cardiology, National Institute of Cardiovascular Diseases, Khairpur, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i10.1115

Keywords:

Uterine Rupture, Anemia, Maternal Death

Abstract

A uterine rupture is when the uterine wall is torn during labor or right after birth. It is although not common but when occurs it is catastrophic obstetrical emergency for both mother and fetus needs prompt diagnosis and expert management. Moreover it may leads women to irreversible infertility as it rottenly ends at hysterectomy. Objective: To determine the frequency of uterine rupture and its maternal and fetal outcomes among pregnant women. Methods: This Cross Sectional study was conducted at Civil Hospital Karachi in the department of Obstetrics and Gynecology Unit II from 8^th December 2018 to 7^th June 2019. A total of 317 pregnant women of gestational age >28 weeks, fulfilling the inclusion criteria were enrolled .The data were collected on prepared proforma. Results: This study includes 317 patients with age ranges from 25 to 35 years with mean age of 28.44 ± 3.62 years. In this study, frequency of uterine rupture among pregnant women was found in 7(2.2%) women and maternal mortality 1(7.69%). Conclusions: Findings of this study suggests that uterine perforation is still high and remained important factor for maternal and fetal outcome.

References

Galadanci HS, Ejembi CL, Iliyasu Z, Alagh B, Umar US. Maternal health in Northern Nigeria—a far cry from ideal. BJOG: An International Journal of Obstetrics & Gynaecology. 2007 Apr; 114(4): 448-52. doi: 10.1111/j.1471-0528.2007.01229.x. DOI: https://doi.org/10.1111/j.1471-0528.2007.01229.x

Justus Hofmeyr G, Say L, Metin Gülmezoglu A. Systematic review: WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG: An International Journal of Obstetrics & Gynaecology. 2005 Sep; 112(9): 1221-8. doi: 10.1111/j.1471-0528.2005.00725.x. DOI: https://doi.org/10.1111/j.1471-0528.2005.00725.x

Chuni N. Analysis of uterine rupture in a tertiary center in Eastern Nepal: lessons for obstetric care. Journal of Obstetrics and Gynaecology Research. 2006 Dec; 32(6): 574-9. doi: 10.1111/j.1447-0756.2006.00461.x. DOI: https://doi.org/10.1111/j.1447-0756.2006.00461.x

Ezechi OC, Mabayoje P, Obiesie LO. Ruptured uterus in South Western Nigeria: a reappraisal. Singapore Medical Journal. 2004 Mar; 45(3): 113-6.

Sahin HG, Kolusari A, Yildizhan R, Kurdoglu M, Adali E, Kamaci M. Uterine rupture: a twelve-year clinical analysis. The Journal of Maternal-Fetal & Neonatal Medicine. 2008 Jan; 21(7): 503-6. doi: 10.1080/14767050802042225. DOI: https://doi.org/10.1080/14767050802042225

van den Akker T, Mwagomba B, Irlam J, van Roosmalen J. Using audits to reduce the incidence of uterine rupture in a Malawian district hospital. International Journal of Gynecology & Obstetrics. 2009 Dec; 107(3): 289-94. doi: 10.1016/j.ijgo.2009.09.005. DOI: https://doi.org/10.1016/j.ijgo.2009.09.005

Aziz N and Yousfani S. Analysis of uterine rupture at university teaching hospital Pakistan. Pakistan Journal of Medical Sciences. 2015 Jul; 31(4): 920.

Malik HS. Frequency, predisposing factors and fetomaternal outcome in uterine rupture. Journal of the College of Physicians and Surgeons Pakistan. 2006 Jul; 16(7): 472-5.

Khan B, Khan B, Sultana R, Bashir R, Deeba F. A ten year review of emergency peripartum hysterectomy in a tertiary care hospital. Journal of Ayub Medical College Abbottabad. 2012 Mar; 24(1): 14-7.

Shah N and Khan NH. Emergency Obstetric Hysterectomy: a review of 69 cases. Rawal Medical Journal. 2009 Jan; 34: 75-8.

Yılmaz M, İsaoğlu Ü, Kadanalı S. The evaluation of uterine rupture in 61 Turkish pregnant women. European Journal of General Medicine. 2011 Jul; 8(3): 194-9. doi: 10.29333/ejgm/82730. DOI: https://doi.org/10.29333/ejgm/82730

Nyengidiki TK and Allagoa DO. Rupture of the gravid uterus in a tertiary health facility in the Niger delta region of Nigeria: A 5-year review. Nigerian Medical Journal. 2011 Oct; 52(4): 230-4. doi: 10.4103/0300-1652.93794. DOI: https://doi.org/10.4103/0300-1652.93794

Kadowa I. Ruptured uterus in rural Uganda: prevalence, predisposing factors and outcomes. Singapore Medical Journal. 2010 Jan; 51(1): 35-8.

Eze JN and Ibekwe PC. Uterine rupture at a secondary hospital in Afikpo, Southeast Nigeria. Singapore Medical Journal. 2010 Jun; 51(6): 506-11.

Fofie CO and Baffoe P. A two-year review of uterine rupture in a regional hospital. Ghana Medical Journal. 2010 Sep; 44(3): 98-102. doi: 10.4314/gmj.v44i3.68892. DOI: https://doi.org/10.4314/gmj.v44i3.68892

Smith GC, Pell JP, Cameron AD, Dobbie R. Risk of perinatal death associated with labor after previous cesarean delivery in uncomplicated term pregnancies. JAMA. 2002 May; 287(20): 2684-90. doi: 10.1001/jama.287.20.2684. DOI: https://doi.org/10.1001/jama.287.20.2684

Mozurkewich EL and Hutton EK. Elective repeat cesarean delivery versus trial of labor: a meta-analysis of the literature from 1989 to 1999. American Journal of Obstetrics and Gynecology. 2000 Nov; 183(5): 1187-97. doi: 10.1067/mob.2000.108890. DOI: https://doi.org/10.1067/mob.2000.108890

Mbamara SU, Obiechina NJ, Eleje GU. An analysis of uterine rupture at the Nnamdi Azikiwe University teaching hospital Nnewi, Southeast Nigeria. Nigerian Journal of Clinical Practice. 2012 Oct; 15(4): 448-52. doi: 10.4103/1119-3077.104524. DOI: https://doi.org/10.4103/1119-3077.104524

Duhan N, Sangwan N, Dahiya K, Sirohiwal D, Paul A. Rupture of the gravid uterus: A review of 92 cases. Journal of Gynecologic Surgery. 2011 Mar; 27(1): 17-9. doi: 10.1089/gyn.2010.0001. DOI: https://doi.org/10.1089/gyn.2010.0001

Dattijo LM, Umar NI, Yusuf BM. Ruptured uterus in Azare, north eastern Nigeria. Jos Journal of Medicine. 2011 Jul; 5(2): 17-20. doi: 10.4314/jjm.v5i2.70688. DOI: https://doi.org/10.4314/jjm.v5i2.70688