Volume : VIII, Issue : I, January - 2019

Managementof uterine rupture at the Teaching Hospital of Brazzaville

Mbongo Ja, Ndinga H, Itoua C, Iloki Lh

Abstract :

 The aim of the study was to describe the epidemiological, clinical, therapeutic and prognostic aspects of uterine rupture at the Teaching Hospital of Brazzaville during the period which the caesarean section deliveriesand other major surgical obstetric interventions werefree of charge of charge, in order to appreciate the contribution of free health care on the performance of care.

It was a descriptive and transversal study, with retrospective data collection.

The frequency of ruptured uteruswas 1 in 288 deliveries (0.34%). Uterine rupture occurred in patients with low socioeconomic status, of whom 82% were referred from peripheral health care facilities. Women aged 30 to 40 years (69.6%), women with history of more than three pregnancies(60.9%), and multiparous (78.3%) were the most affected; with often a scarred uterus(78.3%). Uterine ruptures were caused by the scarred uterus (60.8%); cephalo–pelvic disproportion (26%); the use of uterotonics(Misoprostol and Oxytocin) in 13% of cases.The uterine lesion found was most often segmental–corporeal (19.6%) and segmental (13%) rupture. Injuries toother close organs were also noted, mostlythe vagina (10.8%). Uterine repairwas preferred surgical intervention (78.3%).

Conclusion

No uterus rupture occurred in the ward, risk factors for rupture were certainly not identified before the admission, during antenatal care, and it seems that the caesarean section free of charge was not an effective measure in solving of problems related to the management of mothers and their product of conception’ health by policies makers.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

MANAGEMENTOF UTERINE RUPTURE AT THE TEACHING HOSPITAL OF BRAZZAVILLE, Mbongo JA, Ndinga H, Itoua C, Iloki LH INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-1 | January-2019

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