Abstract:
Background: - Even though uterine rupture is infrequent event it is a common cause of maternal and
prenatal mortality and morbidity. It can either occur in women with unscarred uterus or a uterus with a
surgical scar from previous surgery. The occurrence of ruptured uterus varies in different parts of the
world. In the developed world the frequency has dropped significantly whereas it is still a major public
health problem in developing countries in general and Africa in particularly.
Objective: -To determine management outcome of uterine rupture in Attat hospital, South Nation,
Nationalities and People Region, Ethiopia.
Method:-A retrospective study was done in Attat Hospital, from January 1, 2012, to December 30, 2014
to determine management outcome of uterine rupture. The data were collected from patients’ medical
record charts and operation registration book of patients admitted to Gyn obst ward with the diagnosis of
uterine rupture during study period from February 1-30, 2015. A total of 65 patient’s cards were reviewed
and 60 of them fulfill inclusion criteria. SPSS version 20.0 was used for data processing and analysis.
Descriptive statistic and binary logistic regression were used for analyses.
RESULT: - Out of the total 5370 deliveries conducted in Attat Hospital during the study period 60(1.1%)
were cases of uterine rupture. Twenty two (36.7%) of the cases were in the age group of 30-34 years,
50(83.3%) of patients were married, 40(66.7%) of cases were Para I-IV and 35(58.3%) of cases were
stayed in labor for more than 24hours. The major causes of rupture were cephalopelvic disproportion
30(50%) followed by malpresentation and malposition 14(23.3%) of the cases. There were 7(11.7%)
maternal death and 53(88.3%) of stillbirth among patients with uterine rupture. Out of 60 with uterine
rupture 16(26.7%) of patients stayed in hospital before operation for <1 hour and 44(73.3%) patients
stayed for >=1 hour in hospital before operation. Twenty seven (45%) of patients were with hemoglobin
above or equal to 11mg/dl, 16(26.7%) of patient with hemoglobin below 7g/dl, 11(18.3%) of patients
were with hemoglobin in the range of 7g/dl-9.99g/dl, and 6(10%) of patients were in the range of 10-
10.99g/dl hemoglobin before operation.
CONCLUSSIONS AND RECCOMENDATIONS: - The maternal morbidity, mortality and perinatal
mortality associated with uterine rupture were very high. Among patients with uterine rupture, 5(8.3%) of
patients had previous history of Cesearean section. This higher morbidity and mortality were calls for an
integrated effort to prevent its causes.
