Outcome of ruptured uterus at University Teaching Hospital Aleppo, Syria
Bakour, S.; Nassif, B.; Nwosu, E.C.
Journal of Obstetrics and Gynaecology the Journal of the Institute of Obstetrics and Gynaecology 18(5): 424-428
1998
ISSN/ISBN: 0144-3615 PMID: 15512134 DOI: 10.1080/01443619866697Document Number: 531694
A 10-year review of ruptured gravid uterus at the University Teaching Hospital, Aleppo, Syria showed an incidence of one ruptured uterus in 565 deliveries. This is an average figure compared with published studies but is still high compared with developed countries. Sixty-four per cent of the cases of ruptured uterus had no antenatal care. It is no surprise therefore that maternal and fetal mortality was highest amongst the unbooked labouring women. In survivors the morbidity was also higher. Ruptured uterus is therefore a major cause of maternal and perinatal mortality and morbidity in Syria. The overall hospital maternal and perinatal mortalities for the period under review were 4.3% and 2.6% respectively. The main risk factor identified is scarring from previous caesarean sections. Other risk factors are discussed.