TITLE:
Epidemiological, Clinical, Therapeutic, and Prognostic Features of Uterine Rupture at the National Hospital Center of Pikine in the Suburbs of Dakar, Senegal
AUTHORS:
Khalifa Ababacar Gueye, Mouhamet Sene, Mbacké Faye, Anna Dia, Youssou Toure, Moussa Diallo, Abdoul Aziz Diouf, Alassane Diouf
KEYWORDS:
Uterine Rupture, Uterine Scar, Obstetric Hemorrhage, Maternal Morbidity, Perinatal Mortality, Senegal
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.9,
September
9,
2026
ABSTRACT: Introduction: Uterine rupture remains one of the most severe obstetric emergencies and is associated with substantial maternal and perinatal morbidity and mortality, particularly in low-resource settings. This study aimed to describe the epidemiological, clinical, therapeutic, and prognostic characteristics of uterine rupture at the National Hospital Center of Pikine, Senegal. Methods: We conducted a retrospective, descriptive, and analytical study in the Department of Obstetrics and Gynecology of the National Hospital Center of Pikine between January 1, 2020, and May 31, 2024. All women diagnosed with and/or managed for uterine rupture during the study period were included. Data were extracted from patients’ medical records, operative reports, and the FileMaker Go 19 electronic database and analyzed using SPSS version 26.0. Statistical significance was set at p Results: Sixty-four cases of uterine rupture were identified among 16,373 deliveries, corresponding to an incidence of 0.39%. The mean maternal age was 30.8 ± 6.3 years. Multiparous women accounted for 37.5% of cases, and 57.8% had a previous uterine scar. More than half of the patients (57.8%) were referred from other healthcare facilities. Uterine rupture occurred during labor in 84.4% of cases and predominantly involved the lower uterine segment (59.4%). Complete uterine rupture was observed in 73.4% of patients. Conservative uterine repair was performed in 79.7% of cases, whereas hysterectomy was required in 20.3%. The most frequent maternal complications were acute anemia (57.8%), acute kidney injury (10.9%), and postoperative infection (6.3%). The maternal case-fatality rate was 4.7%, while the perinatal mortality rate was 34.4%.