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J Obstet Gynaecol. 2017 Nov;37(8):1106-1107. doi: 10.1080/01443615.2017.1324412. Epub 2017 Aug 1.

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

Author information

1
a Faculty of Medicine , Sana'a University , Sana'a , Yemen.
2
b Department of Obstetrics and Gynecology , Saudi Hospital , Hajjah , Yemen.
3
c Department of Obstetrics and Gynaecology , Kassala University , Kassala , Sudan.
4
d Department of Obstetrics and Gynecology, Faculty of Medicine , University of Khartoum , Khartoum , Sudan.

Abstract

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.

KEYWORDS:

Ruptured uterus; Yemen; delivery; maternal death

PMID:
28760062
DOI:
10.1080/01443615.2017.1324412
[Indexed for MEDLINE]

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