Ruptured uterus in a primigravida: a case report

Maternal mortality and morbidity have remained very high in the developing countries and one of its commonest causes is ruptured uterus, which in a primigravida is rather unusual. The patient reported was a primigravida with no previous uterine scar who had prenatal care and delivery of a live male...

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Bibliographic Details
Published inAfrican journal of medicine and medical sciences Vol. 34; no. 1; p. 91
Main Authors Roberts, O A, Owolabi, M S
Format Journal Article
LanguageEnglish
Published Nigeria 01.03.2005
Subjects
Adult
Female
Gravidity
Humans
Infant, Newborn
Male
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - mortality
Pregnancy Complications - prevention & control
Prenatal Care - standards
Uterine Rupture - diagnosis
Uterine Rupture - mortality
Uterine Rupture - prevention & control
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Summary:Maternal mortality and morbidity have remained very high in the developing countries and one of its commonest causes is ruptured uterus, which in a primigravida is rather unusual. The patient reported was a primigravida with no previous uterine scar who had prenatal care and delivery of a live male infant at a private clinic in Ibadan. The identifiable aetiological factors in this case are pitocin augmentation and manual removal of the placenta. Fortunately, a timely exploratory laparatomy averted another mortality. This is not usually the case in the majority of high-risk patients labouring outside a proper hospital setting consequent upon a declining economy and the rising influence of religion. Methods to reduce this obstetric catastrophy are discussed.
ISSN:0309-3913