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Uterine rupture — an analysis of 81 cases in Conakry/Guinea
Author(s) -
Balde M.D.,
Breitbach G.P.,
Bastert G.
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)90349-p
Subject(s) - medicine , uterine rupture , obstetrics , incidence (geometry) , gynecology , hysterectomy , pregnancy , maternal morbidity , surgery , uterus , physics , biology , optics , genetics
Eighty‐one cases of uterine rupture in Conakry/Guinea are analyzed. With an incidence of 0.84%, i.e. 1 per 119 deliveries, uterine rupture is still a common problem in this region. In this analysis fetal mortality was found to be 75.3% and maternal mortality 20.9%. Mortality rates were statistically higher after hysterectomy than after repair. Other etiologic factors were extreme multiparity and an inadequate transfer system to the obstetric centers. A reduction of uterine rupture rates can be achieved by prevention of extreme multiparity (more than 4 deliveries) and of home deliveries and decentralization of obstetric services into peripheral units and villages.