Pattern and management out come of uterine rupture: a five years retrospective hospital based study in metu karle referal hospital south west, Ethiopia

Abstract

BACKGROUND: Uterine rupture causes high maternal and perinatal mortality in many rural setting in the world. Ethiopia is one of the less developed countries where maternal and perinatal mortality rates are still very high. The occurrence of ruptured uterus varies in different part of the world in developed world the frequency has dropped significantly nevertheless it is still major public health problem in developing countries in general and Africa particular. Uterine rupture has the unique potential to impact negatively on Millennium Development Further studies might provide specific interventions to reduce the high prevalence. OBJECTIVE: To assess the Pattern and management outcome of uterine rupture in metu Karl hospital. METHODE: Five years facility based cross-sectional retrospective study was conducted Metu Karle Hospital. In this study the chart of mother diagnosed of uterine rupture in the hospital within study period were included. Data were collected using structured questioners by trained data collectors. The collected data were checked for its Completeness, entered, edited, cleaned and analyzed by SPSS version 16.0 and presented with table and chart. . For all statistical significance tests the cutoff value set is P<0.05. RESULT; Between Jan 2010 –Jan 2014 129 case of uterine rupture were registered in Metu Karle referral hospital out of that only 109 case are included in the study , Over the study period 8987 total hospital delivery, 7585(84.3%) vaginal delivery and 1402 (15.7%) caesarean delivery .the hospital incidence of uterine rupture case was 1.4% The parity ranges from 1-9 were as 31 (28.4%) were grand multipara, while 97(89%) had had two prior successful deliveries and 12(11%) were who had no delivery before. The mean parity was 3.8(SD 2.3). Only 33(30, 3%) mothers had antenatal care any were. 96(88.1%) were complete uterine rupture and 13(11.9%) were incomplete rupture. There were 6(46.1) intra operative death maternal death and 7(53.9%) post operative death , making case fatality rate of uterine rupture 11.9% total maternal death 13 , There were 104(95.4%) of neonatal death and 5(4.6%) of neonate were alive, those delivered with instrument and previous uterine scar Conclusion; Complete uterine rupture and anterior lower segment rupture were, by far the commonest patterns of uterine rupture by site and type respectively. Recommendation; Blood accessibility was important factor on maternal mortality on this study. So I suggest both local and regional government should consider about blood bank construction and creating awareness on miss understanding developed on blood donation by using media and community leader