Abstract:
Introduction: Uterine rupture causes high maternal and neonatal mortality in many rural
setting in the world. Sub-Sahara Africa still struggles with poor reproductive health indicators.
Uterine rupture accounts for about 8% of all maternal deaths.
Objective: To assess the prevalence and associated factors of uterine rupture during labor
among women who delivered in Debre Markos hospital, 2015.
Method and Materials: Facility based cross sectional study design was employed to assess
prevalence and associated factors of uterine rupture and the data was abstracted from delivery
register, operating theater registrar and patient case files. In Debre Markos referral hospital,
north west Ethiopia. A total of 880 sampled cases were taken by using systematic sampling for
the study from the cases which were booked in obstetrics ward 2010 to 2014.
Result: A 5-years of record review in Debere Markose referral hospital Maternity ward total
16100 deliveries were conducted there was 97.2% complete rate. Prevalence of uterine rupture
was 9.5%. Associated factors for uterine rupture in this finding were attending ANC less than
two visit had (OR 2.5; 95% CI(), (1.25-5.03) , no use of Partograph follow up of labor had
(OR 7.29; 95% CI (3.4- 15.4) ,Obstructed labor had (OR 15.3 .95% CI(7.54-31.1), living in
distance >10 km from the hospital had (OR 5.26.; 95% CI 1.8-15.3) maternal age (OR;0.81
95%CI0.18-0.8),Maternal gravidity had (OR;2.165,95%CI 1.6-2.9) and referred from facility
had ,(OR;6.5 ,95%CI 2.5-16.2).
Conclusion and recommendations: Uterine rupture is one of the major causes of maternal
morbidity and mortality in Debre Markose referral hospital in North West Ethiopia.80%of
uterine rupture was due to obstructed labor. The hospital should build strong collaboration and
integration mechanisms with catchment health facility and educational sector to decrease
prevalence of uterine rupture and its impact in the zone. Further studies might provide specific
interventions to reduce the high prevalence of uterine rupture
