Magnitude of uterine rupture and associated factors among mothers delivered at St.paul Hospital Millennium Medical College and Yekatit 12 hospital from September, 2015 to August 2017: Two year retrospective study

Abstract

Abstract: Background: Uterine rupture is still one of the major public health problem in developing countries especially sub-Saharan Africa endangering the life of many mothers and also can lead to multiple adverse maternal and fetal outcome including severe hemorrhage, bladder injury, hysterectomy and even death. With obstructed labor, currently becomes one of the leading cause of maternal mortality in Ethiopia. St.paul Hospital Millennium Medical College and Yekatit 12 Hospital Medical College are among the tertiary hospitals in the country with high delivery rate. Objective: - To assess the magnitude of uterine rupture and associated factors among mothers presented to St.paul Hospital Millennium Medical College and Yekatit 12 Hospital Medical Collegefrom September 2015 to August 2017 G.C Methods:Both descriptive and analytical hospital based cross-sectional study was conducted to assess magnitude, associated factors and factors associated with maternal death among mothers with uterine rupture during the study period. Data was cleaned, coded and analyzed by using SPSS version 21. Result: A total of 63 cases of uterine rupture out of 28,241 total number of deliveries, making magnitude of uterine rupture 1 in 448.3 deliveries (0.22%). Among mothers with uterine rupture, there were 4 maternal death (3 post-partum, 1 intra-partum) making case fatality rate of 7%. Among mothers with uterine rupture, 43.9% of them had obstructed labor. Conclusion: The magnitude of uterine rupture in the study area was low as compared to the previous study done in Ethiopia. Most of mothers with uterine rupture had cephalopelvic disproportion/obstructed labor. Recommendation: -Health professionals at health centers needs to be updated on identification and early referral of pregnant mothers who have risk factors for uterine rupture to appropriate hospital during antepartum period because most of mothers with uterine rupture had antenatal care follow up at health center and referred after uterine rupture -I also recommend further research with larger sample size.