High rate of uterine rupture in a conflict setting of Hajjah, Yemen

A descriptive study was conducted to investigate the epidemiology and the outcome of uterine rupture at Hajjah Hospital, Yemen, during September 2014-August 2016. There were 110 cases of ruptured uterus and 3457 deliveries (31.8 per 1000 delivery). The majority (82, 74.5%) of these patients were ill...

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Published inJournal of obstetrics and gynaecology Vol. 37; no. 8; p. 1106
Main Authors Al-Rukeimi, Abdullah A, Al-Haddad, Ahmed, Ali, AbdelAziem A, Adam, Ishag
Format Journal Article
LanguageEnglish
Published England 01.11.2017
Subjects
Adult
Armed Conflicts
Cesarean Section - adverse effects
Female
Hospitals
Humans
Hysterectomy - statistics & numerical data
Maternal Death
Misoprostol - adverse effects
Obstetric Labor Complications
Oxytocin - adverse effects
Pregnancy
Pregnancy Outcome - epidemiology
Prenatal Care - statistics & numerical data
Risk Factors
Sterilization, Tubal - statistics & numerical data
Uterine Rupture - epidemiology
Uterine Rupture - etiology
Uterine Rupture - mortality
Yemen - epidemiology
Ruptured uterus
maternal death
delivery
Yemen
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Summary:A descriptive study was conducted to investigate the epidemiology and the outcome of uterine rupture at Hajjah Hospital, Yemen, during September 2014-August 2016. There were 110 cases of ruptured uterus and 3457 deliveries (31.8 per 1000 delivery). The majority (82, 74.5%) of these patients were illiterate. One hundred and four (96.3%) of them had no antenatal care. Seventy-eight of these women (70.9%) delivered at home and 32 (29.1%) delivered at hospital. Out of these 110 cases, 74 (67.3%) and 36 (32.7%) had unscarred uterus and scarred uterus, respectively. The causes of ruptured uterus were as follows: obstructed labour 59 (53.6%), previous caesarean delivery 36 (32.7%), use of oxytocin 10 (9.1%) and misoprostol 5 (4.6%). Hysterectomy was carried out in 50 (45.4%) %), repair in 39 (35.4%), repair with tubal ligation in 18 (16.4%) patients and 3 (2.7%) patients died before operation. There was 8 (7.2%) and 101 (91.8%) maternal and perinatal mortality, respectively. Nineteen (17.3%), 6 (5.4%) and 2 (1.8%) women developed sepsis, had urinary bladder injury and developed vesicovaginal fistulae, respectively.
ISSN:1364-6893
DOI:10.1080/01443615.2017.1324412