Epidemiological profile, maternal and neonatal issue of uterine rupture at the Befelatanana Obstetrics and Gynecology University Hospital

Tanjona Andriamanetsiarivo Ratsiatosika; Romuald Randriamahavonjy; Andry Nirina Ravelojaona; Baco Abdallah Abasse; Housni Ibrahim; Ando-Miora Rakotonirina; Bienvenue Solange Rasoanandrianina; Rakotovao Hery Andrianampanalinarivo

doi:10.18203/2320-1770.ijrcog20183755

Authors

Tanjona Andriamanetsiarivo Ratsiatosika Public Health Department, Faculty of Medicine, Antananarivo, Madagascar
Romuald Randriamahavonjy Department of Gynecology-Obstetrics, Soavinandriana Hospital Center, Antananarivo, Madagascar
Andry Nirina Ravelojaona Public Health Department, Faculty of Medicine, Antananarivo, Madagascar
Baco Abdallah Abasse Public Health Department, Faculty of Medicine, Antananarivo, Madagascar
Housni Ibrahim Public Health Department, Faculty of Medicine, Antananarivo, Madagascar
Ando-Miora Rakotonirina Public Health Department, Faculty of Medicine, Antananarivo, Madagascar
Bienvenue Solange Rasoanandrianina Department of Gynecology-Obstetrics, Faculty of Medicine, Antananarivo, Madagascar
Rakotovao Hery Andrianampanalinarivo Department of Gynecology-Obstetrics, Faculty of Medicine, Antananarivo, Madagascar

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20183755

Keywords:

Epidemiology, Maternal mortality, Perinatal mortality, Uterine rupture

Abstract

Background: Uterine rupture is an obstetric emergency. It involves the life of the mother and the fetus. The main objective of this study was to describe the epidemiological-clinical profile of uterine rupture in Befelatanana Obstetrics and Gynecology University Hospital from January 2016 to April 2018.

Methods: This is a retrospective and descriptive study conducted from January 1, 2016 to April 30, 2018 at the Befelatanana Hospital Centre of Gynecology-Obstetrics. All pregnant patients with uterine rupture were included.

Results: We recorded 35 cases of uterine rupture in 13184 deliveries with a prevalence of 2.65%. The average age was 27.69±6.21 years old. More than half of the pregnant women attended at least four prenatal care consultations. Uterine rupture occurred after a vaginal delivery attempt outside the centre in 62.86%. There were 77.14% cases occurring on non-scarred uterus and 14.29% on mechanical dystocia. A case of fetal macrosomia has been reported. There were 28.57% maternal deaths and 51.43% perinatal deaths, half of which were fetal deaths in utero and the other half were early neonatal deaths.

Conclusions: Uterine rupture remains high in Madagascar. Quality antenatal care and training of the personal would be needed.

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