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, 2017. A case-control study

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Yayehyirad Yemaneh Adinew and Workineh Gizaw

Mizan-Tepi University, Ethiopia

: J Womens Health, Issues Care

Abstract

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Background: Uterine rupture is tearing of the uterine wall during labor or delivery. The overall incidence of uterine rupture is 1 in 2,000 deliveries. In developing countries, uterine rupture is more prevalent and is a serious problem. Objective: To Asses the associated factors, management and complications of uterine rupture in Mizan-Tepi University Teaching hospital, Bench-Maji Zone, SNNPRS ,South west Ethiopia. Methodology: A Hospital based unmatched case-control study was employed from 1st October - 30th October 2016. The total 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 281were Delivery Charts without uterine Rupture 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 from2013-2015G.C. Using SPSS version 20 software 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 result. Result: 1st January 2013 up to 31st December 2015 there were a total of 7628 Deliveries from these 112 Cases of uterine rupture were recorded giving an incidence of 1 in 68 Deliveries. Predisposing factors for uterine rupture were No antenatal care (AOR 4.08 95% CI 1.924-8.651), Labor Duration>18hrs (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 15 maternal deaths giving a case fatality rate of 13.4% . 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 Key words: uterine rupture, associated factors, management, and complications.

Biography

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Yayehyirad Yemane has done Bachelor of Science in Midwifery from University of Gondar, Ethiopia in July 12 -2012, then he was working as Head of the Department in Department of Midwifery College of Health Sciences, Mizan-Tepi University for one year. Then he has joined his Masters education in Mekelle University in September 2-2013. He is graduated from Mekelle University with the speciality of Masters of Clinical Midwifery. Currently, he is working as Lecturer at Department of Midwifery College of Health Sciences, Mizan-Tepi University.