Circumstances of occurrence of uterine ruptures treated in a national reference maternity department in Benin from 2015 to 2019

Ogourinde M. Ogoudjobi, Patrice D. Dangbemey, Achille A. A. Obossou, Abdel S. Saleh, Fiacre P. D. Hounnouvi, Christiane Tshabu-Aguemon, Justin L. Denakpo


Background: Uterine rupture is an obstetric disaster and a major concern for the obstetrician in an African environment because of the insufficient technical support. Objective of current study was to study the circumstances of occurrence of uterine ruptures.

Methods: The study was carried out at the university clinic of obstetrics and gynecology of CNHU-HKM in Cotonou. This was a descriptive and cross-sectional study with retrospective collection from January 1, 2015 to December 31, 2019. We made an exhaustive recruitment of all the patients treated in the department for uterine rupture during the study period. The study variables were socio-demographic and clinical characteristics. Data confidentiality and the anonymity of women were respected.

Results: The study involved 85 cases of uterine rupture. Patients were relatively young with a mean age of 30±15.02 years. Women profile was that of populations with unfavorable socio-economic conditions. The circumstances of discovery were multiparity equal to or greater than 4 (43.5%), scarred uterus (32.9%), non-use of partogram (97.6%), osseous dystocia (10.9%) and fetal dystocia with fetal macrosomia (21.2%) and dystocic presentation (15.3%).

Conclusions: This study identified epidemiological and clinical characteristics related to the circumstances of known uterine ruptures occurrence. A preventive and anticipatory oriented approach can reduce the frequency of that obstetric tragedy, the adequate management of which is often uncertain in Benin.


Uterine rupture, prevalence, circumstances of occurrence, Cotonou

Full Text:



Amate P, Luton D. Rupture utérine pendant la grossesse. Encyclopédie Médico-Chirurgicale (EMC) Obstétrique. EM Consulte. 2014;14:10.

Desta M, Amha H, Anteneh Bishaw K, Adane F, Assemie MA. Prevalence and predictors of uterine rupture among Ethiopian women: A systematic review and meta-analysis. Tessema G, éditeur. PLOS ONE. 2020;15(11):e0240675.

Ministère de la Santé du Bénin. Plan Opérationnel de réduction de la mortalité maternelle néonatale Bénin. PO-RMMN 2018-2022. Available at: https://www. Accessed on 20 September 2021.

Kabibou S, Sambo BT, Tchaou B, Ri S, Jl D, Lokossou A, et al. Les ruptures utérines à l'hôpital de référence de Parakou au Bénin : Aspects épidémiologiques, thérapeutiques et pronostiques. Eur Sci J. 11(24):149-60.

Akotionga M, Lankoande J, Gue MJ, Koné B. Ruptures utérines à la maternité du CHN-YO: Aspects épidémiologiques et cliniques. Médecine d'Afrique Noire. 1998;45(8/9):508-10.

Diallo F, Idi N, Vangeenderhuysen C, Baraka D, Hadiza I, Sahabi. La rupture utérine à la maternité centrale de référence de Niamey (Niger): Aspects épidémiologiques et stratégies de prévention. Médecine d'Afrique Noire. 1998;45(5):310-5.

Diouf A, Guèye M, N’diaye, Thiam O, Mbaye M, Wade M. Predictive factors of Uterine Rupture. Int J Reprod Med Sex Health. 2020;2:01-05.

Fouedjio JH, Dingom MAN, Ymele FF, Tsuala JF. Les Ruptures Utérines dans Deux Hôpitaux Universitaires de la Ville de Yaoundé : Aspects Cliniques et Thérapeutiques. Health Sci Dis. 2016,17(3):36-40.

Ahmadi S, Nouira M, Bibi M, Boughuizane S, Saidi H, Chaib A, et al. Rupture utérine sur utérus sain gravide. À propos de 28 cas. Gynécologie Obstétrique Fertil. 2003;31(9):713-7.

Vercellini P, Parazzini F, Pietropaolo G, Cipriani S, Frattaruolo MP, Fedele L. Pregnancy outcome in women with peritoneal, ovarian and rectovaginal endometriosis: a retrospective cohort study. BJOG Int J Obstet Gynaecol. 2012;119(12):1538-43.

Shipp TD, Zelop C, Repke JT, Cohen A, Caughey AB, Lieberman E. The association of maternal age and symptomatic uterine rupture during a trial of labor after prior cesarean delivery. Obstet Gynecol. avr 2002;99(4):585-8.

Berhe Y, Wall LL. Uterine Rupture in Resource-Poor Countries. Obstet Gynecol Surv. nov 2014;69(11): 695-707.

Dadi TL, Yarinbab TE. Estimates of Uterine Rupture Bad Outcomes Using Propensity Score and Determinants of Uterine Rupture in Mizan-Tepi University Teaching Hospital: Case Control Study. J Pregnancy. 2017;2017:6517015.

Abebe F, Mannekulih E, Megerso A, Idris A, Legese T. Determinants of uterine rupture among cases of Adama city public and private hospitals, Oromia, Ethiopia: a case control study. Reprod Health. 2018; 15(1):161.

Gabkika Bray Madouea. Uterine ruptures: Epidemiological aspects and prognosis at N’djamena mother and child hospital. South Sudan Med J. 2015;8(4):76-9.

Adisso S, Takpara I, Komongui DG, Gbedze KD, Perrin R-X, Alihonou E. Aspects actuels de la rupture utérine. RAMUR. 2000;5(2):52-63.

Parant O. Rupture utérine : prédiction, diagnostic et prise en charge. J Gyn Obst Biol Reprod. 2012;41(8): 803-16.

Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al. Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery. N Engl J Med. 2004;351 (25):2581-9.

Ravasia DJ, Wood SL, Pollard JK. Uterine rupture during induced trial of labor among women with previous cesarean delivery. Am J Obstet Gynecol. 2000;183(5):1176-9.

Alemu AA, Bitew MS, Gelaw KA, Zeleke LB, Kassa GM. Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis. Sci Rep. 2020;10(1):17603.

Bujold E, Gauthier RJ. Risk of uterine rupture associated with an interdelivery interval between 18 and 24 Months. Obstet Gynecol. 2010;115(5):1003-6.

Al-Zirqi I, Daltveit AK, Forsén L, Stray-Pedersen B, Vangen S. Risk factors for complete uterine rupture. Am J Obstet Gynecol. 2017;216(2):165.e1-165.

Wang Y-L, Su T-H. Obstetric Uterine rupture of the unscarred uterus: a twenty-year clinical analysis. Gynecol Obstet Invest. 2006;62(3):131-5.

Azandegbe N, Testa J, Makoutode M. Évaluation de l’utilisation du partogramme au Bénin. Sante. 2004;14(4):251-5.

Lansac J, Carbone B, Pierre F. Le partogramme : un outil toujours actuel pour évaluer la qualité des soins en obstétrique. J Gynécol Obstét Biol Reprod. 2007; 36(1):2-7.