Eighty cases of uterine rupture at the maternity service of the National Hospital Center of Ouagadougou , Burkina Faso
Lankoandé, J.; Ouédraogo, C.M.; Touré, B.; Ouédraogo, A.; Akotionga, M.; Sano, D.; Dao, B.; Koné, B.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 26(7): 715-719
1997
ISSN/ISBN: 0368-2315 PMID: 9471435 Document Number: 471483
In this retrospective study, we recall the frequency of uterine ruptures within a national health center of West Africa and propose solutions in order to reduce the incidence. This very high frequency was 23/1000, i.e. one uterine rupture for 44 deliveries. The feto-maternal prognosis was poor with a high stillbirth rate and maternal mortality. Maternal mortality which was 35% of cases represented 22.7% of the causes of maternal mortality observed within the unit during the survey. The stillbirth rate was 95% representing 145/1000 of the hospital stillbirth rate recorded during the survey. Maternal morbidity was also high because 14% of those who survived presented a parietal suppuration with the release of suture during the immediate postsurgical period. The seriousness of the feto-maternal prognosis is linked to a lack of adequate patient management. The importance of uterine ruptures in the obstetrical activity of the unit needs a joint and urgent action of all intervening parties within the sanitary system in order to contend with this scourge, which is the sign of poor quality health care in Obstetrics.