scholarly journals Uterine ruptures during labor: a study of 26 cases at Nabil Choucair Medical Center, in the suburbs of Dakar

2017 ◽  
Vol 6 (6) ◽  
pp. 2154
Author(s):  
Omar Gassama ◽  
Mouhamadou Mansour Niang ◽  
Abdoul Aziz Diouf ◽  
Youssoupha Toure ◽  
Aissatou Mbodji ◽  
...  
Keyword(s):  
Health Center ◽  
Uterine Rupture ◽  
Analytical Study ◽  
Medical Center ◽  
Fetal Mortality ◽  
Maternal Deaths ◽  
Pregnancy And Delivery ◽  
Spss Software ◽  
Scarred Uterus ◽  
Epidemiological Profile

Background: This study aims to clarify the epidemiological profile of patients and describe the diagnostic, therapeutic and prognostic aspects of uterine ruptures at Nabil Choucair Health Center, in the suburbs of Dakar.Methods: This was a retrospective and prospective, descriptive and analytical study conducted over a period of 112 months, from July 31, 2005 and March 31, 2015; it concerned all diagnosed cases with uterine rupture, managed at Nabil Health Center Choucair Dakar. Data were collected from antenatal notebooks, delivery records, surgical reports and anesthetic records. The following parameters were studied: socio-demographic characteristics (frequency, chracteristics of patient), the course of pregnancy, diagnostic, prognostic, and therapeutic aspects. Data analysis was performed using SPSS software (version 11.0).Results: During the study period, we recorded 26 uterine ruptures from a total of 34,097 deliveries, that is a frequency of 8 out of 10,000 births. The epidemiological profile of the patients was that of a 30-year old woman, on average, few previous deliveries with an average parity of 3, who received on average 3 antenatal and evacuated in 50% of cases. Uterine rupture occurred in 17 patients on a new uterus (65, 4%) and in 9 patients on a scarred uterus (34.6%). Two patients (7%) were in hemorrhagic shock. A laparotomy aimed at specifying the place of rupture and making the treatment was performed in all patients. It was 18 uterine segmento-corporeal ruptures (69.2%), 5 segmental ruptures (19.2%) and 2 corporeal ruptures (7.6%). We recorded 9 uterine ruptures with living fetus (38.5%). Twenty-three patients (88.5%) underwent conservative suture against only 3 hemostasis hysterectomy (11.5%). The postoperative courses were uneventful in 57.7% of cases. Eleven patients (42.3%) had anemia and we recorded maternal deaths, which is a maternal mortality of 3.84%.Conclusions: Uterine rupture is a serious complication that is still responsible for significant maternal and fetal mortality. Prevention is based on careful monitoring of pregnancy and delivery.

scholarly journals Epidemiological profile, maternal and neonatal issue of uterine rupture at the Befelatanana Obstetrics and Gynecology University Hospital

2018 ◽  
Vol 7 (9) ◽  
pp. 3473
Author(s):  
Tanjona Andriamanetsiarivo Ratsiatosika ◽  
Romuald Randriamahavonjy ◽  
Andry Nirina Ravelojaona ◽  
Baco Abdallah Abasse ◽  
Housni Ibrahim ◽  
...  
Keyword(s):  
Uterine Rupture ◽  
Descriptive Study ◽  
The Other ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Maternal Deaths ◽  
Obstetric Emergency ◽  
Scarred Uterus ◽  
Epidemiological Profile ◽  
And Training

Background: Uterine rupture is an obstetric emergency. It involves the life of the mother and the fetus. The main objective of this study was to describe the epidemiological-clinical profile of uterine rupture in Befelatanana Obstetrics and Gynecology University Hospital from January 2016 to April 2018.Methods: This is a retrospective and descriptive study conducted from January 1, 2016 to April 30, 2018 at the Befelatanana Hospital Centre of Gynecology-Obstetrics. All pregnant patients with uterine rupture were included.Results: We recorded 35 cases of uterine rupture in 13184 deliveries with a prevalence of 2.65%. The average age was 27.69±6.21 years old. More than half of the pregnant women attended at least four prenatal care consultations. Uterine rupture occurred after a vaginal delivery attempt outside the centre in 62.86%. There were 77.14% cases occurring on non-scarred uterus and 14.29% on mechanical dystocia. A case of fetal macrosomia has been reported. There were 28.57% maternal deaths and 51.43% perinatal deaths, half of which were fetal deaths in utero and the other half were early neonatal deaths.Conclusions: Uterine rupture remains high in Madagascar. Quality antenatal care and training of the personal would be needed.

scholarly journals Study of cases of rupture uterus in a tertiary institute and its maternal and perinatal outcome

2017 ◽  
Vol 6 (9) ◽  
pp. 4023
Author(s):  
Rupali Atmaram Gaikwad ◽  
Niranjan N. Chavan
Keyword(s):  
Mortality Rate ◽  
Uterine Rupture ◽  
Perinatal Outcome ◽  
Abdominal Hysterectomy ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Intact Uterus ◽  
Scarred Uterus

Background: Uterine rupture is undoubtedly one of the most tragic events that can occur in a women’s life and tragedy becomes more grim when she is young. In India, in advanced cities the incidence of rupture preceded by obstructed labour is decreasing, in rural parts where there is inadequate care, lack of communication and transport, home deliveries by untrained dais incidence of rupture uterus is still high. So, the study is to evaluate the etiological factors, incidence, management modalities and maternal and perinatal outcome.Methods: A prospective cross-sectional study of 46 cases of rupture uterus and maternal and Perinatal outcome, in the department of Obstetrics and Gynecology in government tertiary reference center.Results: Overall incidence of uterine rupture is 1 in 924. Out of 46 cases 07 (15.22%) were booked, and 39 (84.78%) were referred patients. The 20-30 years age group is the most vulnerable age group. Out of 44 rupture uterus during labor, 13 (22.72%) were spontaneous of intact uterus and 31(70.45%) were in scarred uterus. Subtotal abdominal hysterectomy was commonest modality of treatment used (28 out of 46 cases), followed by suturing of tear. There were 5 maternal deaths out of 46 patients, giving maternal mortality rate of 13.51%. Perinatal mortality rate still on higher side was 76.08%.Conclusions: Most cases of rupture uterus are preventable with good antenatal and intra-partum care. Our study shows that there has been a decline in the overall morbidity in cases of rupture uterus and so also the mortality rate (decreased from 24.3 to 13.51%).

scholarly journals Retrospective study of cases of rupture uterus

2017 ◽  
Vol 6 (5) ◽  
pp. 1900
Author(s):  
Manju Arora ◽  
Sunita Jindal ◽  
Sangeeta Gupta
Keyword(s):  
Uterine Rupture ◽  
Clinical Presentation ◽  
Intrauterine Death ◽  
Previous Cesarean Section ◽  
The People ◽  
Pregnancy And Delivery ◽  
Scarred Uterus ◽  
Clinical Records ◽  
Preventable Complication ◽  
Previous Cesarean

Background: This study aimed to evaluate the risk factors, clinical presentation, management, maternal and perinatal outcome of patients with rupture uterus.Methods: In this study, clinical records of 14 cases of rupture uterus occurring between January 2001 to August 2004 were reviewed.Results: During this period 17312 deliveries were conducted and 14 cases of rupture uterus were managed. Incidence of rupture uterus was 0,8/1000 deliveries. In 10/14 (71.4%) of cases, rupture occurred in scarred uterus (either of cesarean delivery or of any surgery).9/14 (64.2%) women had rupture of previous cesarean section scar and 4/14 (28.5%) women had rupture of unscarred uterus .7/14 (50%) women had more than one risk factor responsible for rupture uterus. 10/14 (71.4%) women were unbooked.10/14 (71.4%) women had subtotal hysterectomy; 4/14 (28.5%) had repair of scar site. Invariably blood had to be transfused in every case per and post-operatively.6/14 (42.8%) of fetuses could be salvaged; in 7/14 (50%) women; there was intrauterine death, while another (7.14%) woman had preterm neonatal death.Conclusions: Uterine rupture is a preventable complication. In our study, most of women had no antenatal check-up and/or managed initially by untrained personnel. Antenatal and intranatal care, identification of high-risk cases and education of the people about supervised pregnancy and delivery will reduce the occurrence of uterine rupture.

scholarly journals Spontaneous Uterine Rupture of an Unscarred Uterus before Labour

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Mamour Guèye ◽  
Magatte Mbaye ◽  
Mame Diarra Ndiaye-Guèye ◽  
Serigne Modou Kane-Guèye ◽  
Abdoul Aziz Diouf ◽  
...  
Keyword(s):  
Public Health ◽  
Developing Countries ◽  
Uterine Rupture ◽  
Public Health Problem ◽  
Exceptional Case ◽  
Fetal Mortality ◽  
Spontaneous Uterine Rupture ◽  
Scarred Uterus ◽  
First Time ◽  
Rare Situation

Uterine rupture is a public health problem in developing countries. When it is spontaneous, it occurs most often during labor in a context of scarred uterus. Uterine rupture during pregnancy is a rare situation. The diagnosis is not always obvious and morbidity and maternal and fetal mortality is still high. We report a case of spontaneous uterine rupture during pregnancy at 35 weeks of an unscarred uterus before labour. This is an exceptional case that we observe for the first time in our unit.

scholarly journals Maternal death due to ruptured uterus consequent to abruptio placentae: 2 case reports

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Arun Kumar Jaiswani ◽  
Utkarsh Tripathi ◽  
Snigdha Jain Bansal ◽  
Vartika Singh ◽  
Kanchan Jaiswani
Keyword(s):  
Uterine Rupture ◽  
Case Reports ◽  
Lateral Wall ◽  
Fetal Mortality ◽  
Maternal Deaths ◽  
Abruptio Placentae ◽  
Case Presentation ◽  
Lower Segment Caesarean Section ◽  
High Risk Factors ◽  
Ruptured Uterus

Abstract Background Abruptio placentae is a complication of pregnancy that can lead to uterine rupture, increasing maternal and fetal mortality, especially when there is a lack of medical outreach in remote areas. Case presentation We present two maternal deaths due to uterine rupture in a term pregnancy consequent to abruptio placentae. In one case, the uterus ruptured at the previous lower segment Caesarean section (LSCS) scar site and in another over the lateral wall of Couvelaire uterus. In both cases, the fetus was partially lying outside the uterus in the peritoneal cavity, and there was a massive retro-placental clot. Conclusions Early identification of high-risk factors, followed by institutional delivery, may reduce maternal and fetal mortality due to abruption followed by uterine rupture.

Pregnancy and delivery after complete uterine rupture

2018 ◽  
Vol 47 (1) ◽  
pp. 23-28
Author(s):  
L. Delecour ◽  
R.-C. Rudigoz ◽  
G. Dubernard ◽  
C. Huissoud
Keyword(s):  
Uterine Rupture ◽  
Pregnancy And Delivery

Estimation of stature from outstretched arm span and measurement of component/s of upper limb in the natives of Gujarat

2021 ◽  
Vol 8 (2) ◽  
pp. 84-90
Author(s):  
R Lalhminghlua ◽  
Mohammed Ziyauddin G Saiyed ◽  
Manjit Nayak ◽  
C B Jani
Keyword(s):  
Upper Limb ◽  
Analytical Study ◽  
Reliable Indicator ◽  
Regression Equations ◽  
Developmental History ◽  
Geographical Differences ◽  
Suprasternal Notch ◽  
Cross Sectional ◽  
Arm Span ◽  
Spss Software

The outstretched arm span and measurement of components of the upper limb are a reliable predictors of stature when fragmentary remains of the human body are found. However, this relationship can be affected by age, sex, diet, racial and geographical differences, etc. Hence, a regional database is necessary to be more accurate. This cross-sectional, prospective analytical study included 200 students pursuing MBBS (Male = 100, Female = 100), natives of Gujarat, aged between 18 - 24 years with normal developmental history. Rich bells stature meter, Anthropometric metal rods (scaled), and Vernier caliper were used for taking measurements. SPSS software version 26 was used for statistical analysis. The findings showed a positive correlation between stature and the outstretched arm span as well as stature and various components of the upper limb. Except for the correlation between stature and the length of the shoulder to mid suprasternal notch in males, all of the results were statistically significant (p < 0.05). Regression equations were derived and verified.Outstretched arm span is the most reliable indicator of stature whereas the length of the shoulder to mid suprasternal notch is the least reliable indicator of stature in both sexes in the natives of Gujarat. This study can be used as a reference in the future for medico-legal purposes.

scholarly journals The Prevalence of Disability and Its Relationship With the Demographic Characteristics of the Elderly in Gonabad City, Iran, in 2019

2021 ◽  
Vol 27 (1) ◽  
pp. 34-47
Author(s):  
Saleh Baghery Kakhki ◽  
◽  
Mehdi Basiri Moghadam ◽  
Leila Sadeghmoghadam ◽  
◽  
...  
Keyword(s):  
Analytical Study ◽  
Early Death ◽  
The Elderly ◽  
Demographic Characteristics ◽  
Cross Sectional ◽  
Background History ◽  
Literacy Level ◽  
Spss Software ◽  
Elderly Disability

Aims: Disability reduces the independence and quality of life in the elderlies and it increases their independence and causes increased need of support, more admittance in nursing homes and early death. The aim of this study was to examine the prevalence of disability and its relationship with the demographic characteristics. Methods & Materials: This cross-sectional (descriptive-analytical) study was performed on 470 elderly people aged 60 and over living in Gonabad by random stratified sampling. Data collection tools included a demographic profile questionnaire and a standardized questionnaire from the WHO to assess disability in the elderly. The data collected were analyzed using SPSS software version 14.5 and the Kai Scoyer test and ranked logistic regression. Significant levels of less than 0.05 were considered Findings: 35.6% of the elderly had very low disability, 40.6% had low disability, 15.2% had moderate disability and 8.6% had severe disability. Age (P<0.001), sex (P=0.03), literacy level (P<0.001), and background history (P<0.001) were significant predictors of elderly disability Conclusion: There is a relationship between disability and its level with aging. According to the growth in elderly’s population, paying attention to health and reducing disability and promoting their life’s quality is necessary.

scholarly journals The Prevalence of Disability and Its Relationship With the Demographic Characteristics of the Elderly in Gonabad City, Iran, in 2019

2021 ◽  
Vol 27 (1) ◽  
pp. 34-47
Author(s):  
Saleh Baghery Kakhki ◽  
◽  
Mehdi Basiri Moghadam ◽  
Leila Sadeghmoghadam ◽  
◽  
...  
Keyword(s):  
Analytical Study ◽  
Early Death ◽  
The Elderly ◽  
Demographic Characteristics ◽  
Cross Sectional ◽  
Background History ◽  
Literacy Level ◽  
Spss Software ◽  
Elderly Disability

Aims: Disability reduces the independence and quality of life in the elderlies and it increases their independence and causes increased need of support, more admittance in nursing homes and early death. The aim of this study was to examine the prevalence of disability and its relationship with the demographic characteristics. Methods & Materials: This cross-sectional (descriptive-analytical) study was performed on 470 elderly people aged 60 and over living in Gonabad by random stratified sampling. Data collection tools included a demographic profile questionnaire and a standardized questionnaire from the WHO to assess disability in the elderly. The data collected were analyzed using SPSS software version 14.5 and the Kai Scoyer test and ranked logistic regression. Significant levels of less than 0.05 were considered Findings: 35.6% of the elderly had very low disability, 40.6% had low disability, 15.2% had moderate disability and 8.6% had severe disability. Age (P<0.001), sex (P=0.03), literacy level (P<0.001), and background history (P<0.001) were significant predictors of elderly disability Conclusion: There is a relationship between disability and its level with aging. According to the growth in elderly’s population, paying attention to health and reducing disability and promoting their life’s quality is necessary.

scholarly journals Maternal mortality by direct obstetric causes in an urban referral hospital: case of Boulmiougou District Hospital in Ouagadougou, Burkina Faso

2019 ◽  
Vol 8 (8) ◽  
pp. 3009
Author(s):  
Yobi Alexis Sawadogo ◽  
Hyacinthe Zamané ◽  
Sibraogo Kiemtoré ◽  
Sansan Rodrigue Sib ◽  
Dantola Paul Kain ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Analytical Study ◽  
District Hospital ◽  
Contributing Factors ◽  
Childbearing Age ◽  
Continuous Training ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Pregnancy And Childbirth ◽  
Technical Platform

Background: Complications during pregnancy and childbirth are the leading causes of death and disability for women of childbearing age. Objective of this study was to study maternal mortality of direct obstetric origin at the Boulmiougou district hospital from 2010 to 2014.Methods: This was a retrospective cross-sectional descriptive and analytical study of maternal deaths by direct obstetric cause at the maternity ward of Boulmiougou District Hospital during the period from January 1st 2010 to December 31st, 2014, i.e. 5 years.Results: The maternal mortality rate by direct obstetric cause of 147.68 maternal deaths per 100,000 live births. The average age of the patients was 27.09 years old. The direct causes of maternal death were hemorrhage (47.06%), hypertensive disorders (20.59%), infections (14.71%) and unsafe abortion (11.76%). Contributing factors to maternal deaths were delay in evacuation (47.06%) and delay in care (38.23%).Conclusions: Maternal mortality remains high in the Boulmiougou District Hospital. To effectively combat maternal mortality, it is important to focus on the continuous training of staff and the strengthening of the technical platform.

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