Yayehyirad Yemane Adinew
Lecturer at the Department of Midwifery College of Health Sciences, Mizan-Tepi University
Title: Assessment of the associated factors, management and complications of uterine rupture at mizan-tepi university teaching hospital, mizan-aman town, bench-maji zone, snnprs, south west ethiopia, 2016/17. A case control study
Biography
Biography: Yayehyirad Yemane Adinew
Abstract
Background: Uterine rupture is tearing of the uterine wall during labor or delivery and rupture of a previously or already
unscarred uterus is more often than not a catastrophic event resulting in death of the baby, extensive damage to the uterus and
sometimes even maternal death from blood loss. The overall incidence of uterine rupture is 1 in 2,000 deliveries. In developing
countries, uterine rupture is more prevalent or common and is a serious or common problem.
Objective: To assess the associated factors, management and complications of uterine rupture in Mizan-Tepi University
Teaching Hospital, Mizan-Aman town, Bench-Maji Zone, SNNPRS, south west Ethiopia, 2016/17.
Methodology: A hospital based unmatched multi-factorial case-control study/consider was employed from 1st October - 30th
October 2016. The required sample size gave us a total of 352 delivery charts by considering case to control ratio of 1:4 of
these 71 were delivery charts with uterine rupture and 281 were delivery charts without uterine rupture which were selected
by using lottery method. Data was retrieved using pre-tested and structured data extraction format from operation notes,
delivery registers and patients cards documented from 2013-2015 G.C. Using SPSS version 20 software, descriptive statistics,
bivariate and multivariate logistic regression analysis was done and p-value <0.2 and <0.05 were considered as significant
during bivariate and multivariate logistic regression analysis respectively. AOR with 95% CI was used to control for possible
confounders and to interpret the results.
Result: From 1st January 2013 up to 31st December 2015 there were a total of 9878 deliveries from these 71 cases of uterine
rupture were recorded giving an incidence of 1 in 139 deliveries. Predisposing factors for uterine rupture were no antenatal care
(AOR 4.08 95% CI 1.924-8.651), labor duration > 18 hrs (OR 2.769; 95% CI 1.231-6.226), parity ≥ 5 (AOR 6.16; 95% CI 2.886-
13.148), having obstructed labor (AOR 2.714 95%; CI 1.228-5.720), no use of partograph (AOR 2.248, 95% CI 1.049-4.817).
There were 7 maternal deaths due to uterine rupture during the study period giving a mortality rate of ~ 0.07%.
Conclusion: Uterine rupture still remains one of the major causes of maternal and newborn morbidity and mortality. The
prenatal mortality for both case and controls is high in Mizan-Tepi University Teaching Hospital.