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Summary
A ten year review of ruptured uterus at the University of Nigeria Teaching Hospital disclosed an incidence of 1 in 500 deliveries.
The average incidence for booked patients alone was 1 in 1271 deliveries. The maternal and perinatal mortalities were 17 per cent and 91 per cent respectively while the contributions of ruptured uterus to the overall hospital maternal and perinatal mortalities for the period under review were 4.1 and 2.6 per cent respectively.
In 1978 the average incidence of ruptured uterus in all patients delivered at the hospital increased from 1 in 787 in the first five years, to 1 in 330 in the second five years, while the maternal mortality of ruptured uterus decreased from 27 per cent in the first half to 10 per cent in the second half of the study.
The decline in maternal mortality in this environment is due to better availability of stored blood and management which included subtotal hysterectomy in many cases.
