Maternal and perinatal outcomes of uterine rupture in the Kassala Hospital, east Sudan: 2006–2009

Abstract

Medical files of patients with ruptured uterus during 2006–2009 at the Kassala Hospital, east Sudan were reviewed. Of 13,569 deliveries, there were 28 cases of ruptured uterus (two per 1,000 deliveries). The majority of these patients had parity ≥5 (53.5%), were illiterate (82.1%), rural residence (75%) and unbooked (92.8%). The identified causes of ruptured uterus were: obstructed labour (50%), previous caesarean section (32.1%). Caesarean hysterectomy was carried out in (39.3%), repair in (32.2%) and repair with tubal ligation in (28.5%). There was 14.3% and 92.8% maternal and perinatal mortality, respectively. A total of 21.4% and 7.14% developed sepsis and vesicovaginal fistulae, respectively.

Keywords:

• Maternal
• perinatal
• Sudan
• uterine rupture

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.