Risk Factors for Ruptured Uterus in a Developing CountryOmole-Ohonsi A* and Attah R
Department of Obstetrics and Gynecology, Bayero University/Aminu Kano Teaching Hospital, Zaria Road, Kano
- *Corresponding Author:
- Omole-Ohonsi A
Department of Obstetrics and Gynecology
Bayero University/Aminu Kano Teaching Hospital
Zaria Road, Kano
E-mail: [email protected]
Received June 22, 2011; Accepted September 26, 2011; Published October 29, 2011
Citation: Omole-Ohonsi A, Attah R (2011) Risk Factors for Ruptured Uterus in a Developing Country. Gynecol Obstetric 1:102. doi: 10.4172/2161-0932.1000102
Copyright: © 2011 Omole-Ohonsi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: This is a comparative prospective study of the risk factors for ruptured uterus in Aminu Kano Teaching Hospital, Kano, Nigeria, between 1st January 2000 and 31st December 2005. Materials and methods: Forty six women with ruptured uterus (cases) were compared with two hundred and thirty women who delivered without ruptured uterus (control). Chi-square (x2) test was used for comparison of the data for statistical significance. The odds ratio (OR) and 95% confidence interval (CI) were determined. Results: The incidence of ruptured uterus was 1 in 278 deliveries (0.36%). The significant risk factors found were unbooked status (OR = 36.70, CI = 12.85 – 112.94), low socioeconomic status (OR = 11.51, CI = 5.34 – 25.10), 30- 39 years of age (OR = 2.23, CI = 1.10 – 4.50), grandmultiparity (OR = 8.25, CI = 3.88 – 17.64), prolonged obstructed labour (OR = 5.92, CI = 2.57 – 13.66). Poor supervision in labor (unbooked status) was found to be the commonest cause of ruptured uterus. Conclusion: In a predominantly Islamic community like ours where early marriage is common, female western education and employment, as well as education of their husbands, community and religious leaders on the importance of antenatal care and hospital delivery, will go a long way to improve its utilization and reduce the prevalence of ruptured uterus in our community.