TITLE:
Maternal and Fetal Prognosis of Uterine Rupture in the Health District of Koutiala
AUTHORS:
Cheickna Sylla, Soumana Oumar Traoré, Sitapha Dembele, Seydou Z. Dao, Mamadou Traoré, Amadou Boucoum, Seydou Fané, Ibrahima Tegueté, Youssouf Traoré, Niani Mounkoro
KEYWORDS:
Uterine Rupture, Maternal and Fetal Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.9,
September
17,
2020
ABSTRACT: Introduction: Uterine rupture
is a complete or incomplete non-surgical continuity solution of the wall of the
gravid uterus. Indeed, it is a Affection obstetrical condition whose
maternal-fetal prognosis is poor in terms of morbidity and mortality. Objectives: To assess the risk factors for uterine rupture in
the Koutiala Health District. Methods: This was a
descriptive and analytical cross-sectional prospective collection study from
January 1, 2019 to December 31, 2019, a 12-month period. In our study, all
patients admitted to the maternity ward were included during the study period
for which the diagnosis of uterine rupture was made. Results: Out of a total of deliveries, we recorded 27 cases of uterine rupture, a
frequency of 1.04%. The average age of our patients was 32 years with extremes
of 19 and 45 years. We notice 92.6% of uterine ruptures during the transfer.
Almost 3/4 of our parturients were out of school 70.4% versus 11.1% in primary
school and 18.5% in secondary school. The majority of patients affected by
uterine rupture came from rural areas 85.2%. Only 14.8% were from Koutiala
city. The admission time to the Koutiala Reference Health Centre was 2 hours 30
minutes in 50.85% of our patients with extremes of 15 minutes and 4 hours 30 min. The average parity was 6.30 - 3036; large multiparous accounted for
63% in our sample followed by multiparous 18.5%. As for pregnancy
follow-up, 100% of the patients had not performed any prenatal consultations.
In 85.2% hysterrhaphy was performed intervention and hysterectomy in 14.8%.
Maternal prognosis was satisfactory in 96.30% of cases. From the point of view
of morbidity: 1 case of bladder-vaginal fistula was recorded and corrected by
the bladder survey at home for 15 days. Late complications were the occurrence
of anemia in 16 patients who were transfused and 1 case of phlebitis. We
recorded 1 maternal death and 25 stillbirths. Conclusion: Uterine rupture is one of the leading causes of maternal and fetal
mortality in Mali.