内科: オープンアクセス
オープンアクセス

概要

Prevalence and Associated Factors of Uterine Rupture During Labor among Women Who Delivered in Debre Markos Hospital North West Ethiopia

Aliyu SA, Yizengaw TK and Lemma TB

Background: Uterine rupture causes high maternal and neonatal mortality in many rural setting in the world. Uterine rupture accounts for about 8% of all maternal deaths. Method and Materials: Facility based cross sectional study design was employed to assess the prevalence and associated factors of uterine rupture. The data were abstracted from the cases registered during 2010 and 2014 in delivery registers, operating theater registers and patients’ case files of obstetrics ward of Debre Markos Referral Hospital North West Ethiopia. A total of 880 cases were selected by using systematic sampling method. Result: A sample size of 880 cases was selected after a review of 5-year patients’ records (approx. 16,100 registered delivery cases) from Debre Markos Referral Hospital maternity ward. Among these selected cases, 854 (97.2%) cases were responded for the study. Prevalence of uterine rupture was identified in 81 (9.5%) cases. Factors associated with uterine rupture includes: attending ante natal care less than two visits (OR 2.5 95% CI 1.25-5.03), no use of partograph on follow up of labor (OR 7.29 95% CI 3.4-15.4), obstructed labor (OR 15.3 95% CI 7.54-31.1), living within >10 km of distance from the hospital (OR 5.26 95% CI 1.8-15.3), increase in one unit of maternal age (OR 8.15 95% CI 0.18-0.82), increase of one gravidity (OR 2.165 95% CI 1.6-2.9) and referred from other facilities (OR 6.5 95% CI 2.5-16.2). Conclusion and Recommendations: Uterine rupture is one of the major causes of maternal morbidity and mortality in Debre Markos Referral Hospital in North West Ethiopia. Majority of uterine ruptures were occurred due to the obstructed labor. The hospital should build strong collaborative and integrative mechanisms with catchment of healthy facility and educative campaign to decrease prevalence of uterine rupture and its impact in the surrounding regions.