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Ruptured uterus in Ibadan — A twelve year review
Author(s) -
Konje J.C.,
Odukoya O.A.,
Ladipo O.A.
Publication year - 1990
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(90)90347-n
Subject(s) - medicine , etiology , incidence (geometry) , uterus , obstetrics , uterine rupture , gynecology , physics , optics , psychiatry
Maternal mortality and morbidity have remained very high in the developing countries. A common cause is ruptured uterus. In this report of 227 cases of ruptured uterus, the incidence was found to be rising. About 71.4% of the cases lacked prenatal care while 48.4% had a previously scarred uterus with many of them laboring for more than 12 h. The most common etiological factor was prolonged labor. Maternal mortality was 7.5% while perinatal mortality was 62.0%. Labor in high risk patients outside hospital because of declining economy and the rising influence of religion were some of the predisposing factors implicated. Methods to reduce this obstetric catastrophe are discussed.