Prevalence and Associated Factors of Uterine Rupture Durng Labor among Women Who Delivered in Debre Markos Hospital North West Ethiopia

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