Uterine rupture in Segou#039;s Nianankoro Fomba hospital in Mali: About 62 cases

Abstract

Aims: This study aimed to determine frequency, socioeconomic profile of the patients and maternal and fetal outcome of uterine rupture. Patients and Methods: It is about a forward-looking going study from January 1st, 2007 till June 1st, 2009 realized in the department of gynecology and obstetrics of the Segou's Nianankoro Fomba hospital. All the patients were included in our study having presented a uterine rupture during delivery or the immediate post-partum and the coverage of which was assured in the service. Data were analyzed on the EPI INFO 6.4 software with a threshold p = 0, 05. Results: During the period of study we recorded 4594 deliveries among which 62 uterine rupture or 1, 3 %. Uterine rupture was considered as iatrogenic in 72, 6 % of cases. The treatment was conservative in 57, 4 % of cases and operating consequences were good in 91, 8 % of cases. We recorded 5 cases of maternal death and 87, 1 % of fetal death. Conclusion: Uterine rupture is one of the main causes of maternal mortality. The premature and adequate care allows reducing considerably maternal and fetal mortality.