Гинекология и акушерство

Гинекология и акушерство
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ISSN: 2161-0932


Risk Factors for Ruptured Uterus in a Developing Country

Omole-Ohonsi A and Attah R

Objective: This is a comparative prospective study of the risk factors for ruptured uterus in Aminu Kano Teaching Hospital, Kano, Nigeria, between 1st January 2000 and 31st December 2005. Materials and methods: Forty six women with ruptured uterus (cases) were compared with two hundred and thirty women who delivered without ruptured uterus (control). Chi-square (x2) test was used for comparison of the data for statistical significance. The odds ratio (OR) and 95% confidence interval (CI) were determined. Results: The incidence of ruptured uterus was 1 in 278 deliveries (0.36%). The significant risk factors found were unbooked status (OR = 36.70, CI = 12.85 – 112.94), low socioeconomic status (OR = 11.51, CI = 5.34 – 25.10), 30- 39 years of age (OR = 2.23, CI = 1.10 – 4.50), grandmultiparity (OR = 8.25, CI = 3.88 – 17.64), prolonged obstructed labour (OR = 5.92, CI = 2.57 – 13.66). Poor supervision in labor (unbooked status) was found to be the commonest cause of ruptured uterus. Conclusion: In a predominantly Islamic community like ours where early marriage is common, female western education and employment, as well as education of their husbands, community and religious leaders on the importance of antenatal care and hospital delivery, will go a long way to improve its utilization and reduce the prevalence of ruptured uterus in our community.