ArticleReproductive health2013
Uterine rupture in a teaching hospital in Mbarara, western Uganda, unmatched case- control study.
Article in Reproductive health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Partograph utilization as a decision-making tool and associated factors among obstetric care providers in Ethiopia: a systematic review and meta-analysis.Systematic reviews · 2020Pooled it
- Prevalence and determinants of uterine rupture in Ethiopia: a systematic review and meta-analysis.Scientific reports · 2020Pooled it
- Prevalence and predictors of uterine rupture among Ethiopian women: A systematic review and meta-analysis.PloS one · 2020Pooled it
- Determinants of uterine rupture among pregnant mothers who gave birth at University of Gondar comprehensive specialized Hospital, Northwest Ethiopia: unmatched case control study.BMC pregnancy and childbirth · 2026Article
- The three obstetrics delays determine uterine rupture at Nekemte specialized hospital: a hospital-based case-control study.Scientific reports · 2026Article
- Perspectives of midwives on the use of Kaligutim (local oxytocin) for induction of labour among pregnant women in the government hospitals in Tamale.BMC pregnancy and childbirth · 2024Article
- Prevalence of Maternal Fever and Associated Factors among Postnatal Women at Kawempe National Referral Hospital, Uganda: A Preliminary Study.International journal of environmental research and public health · 2024Article
- Herbal medicine use during pregnancy and childbirth: perceptions of women living in Lilongwe rural, Malawi - a qualitative study.BMC women's health · 2023Article
- Survival Status and Predictors of Mortality Among Women with Uterine Rupture at Public Hospitals of Eastern Ethiopia. Semi-Parametric Survival Analysis.International journal of women's health · 2023Article
- Learning from maternal deaths due to uterine rupture: review of cases from peri-urban Uganda.AJOG global reports · 2022Article
- Ruptured uterus: Frequency, risk factors and feto-maternal outcome: Current scenario in a low-resource setup.PloS one · 2022Article
- Estimating the Risk of Maternal Death at Admission: A Predictive Model from a 5-Year Case Reference Study in Northern Uganda.Obstetrics and gynecology international · 2022Article
- Non-haemorrhagic uterine rupture at 28 weeks of pregnancy following previous caesarean section: a case report.BMC pregnancy and childbirth · 2021Article
- Article
- Outcome of uterine rupture and associated factors in Yirgalem general and teaching hospital, southern Ethiopia: a cross-sectional study.BMC pregnancy and childbirth · 2020Article
- The Uterotonic Screening of the Root Extract ofEvidence-based complementary and alternative medicine : eCAM · 2020Article
- Determinants of Uterine Rupture and Its Management Outcomes among Mothers Who Gave Birth at Public Hospitals of Tigrai, North Ethiopia: An Unmatched Case Control Study.Journal of pregnancy · 2020Article
- Expert perspectives on essential parameters to monitor during childbirth in low resource settings: a Delphi study in sub-Saharan Africa.Reproductive health · 2019Article
- Incidence and factors associated with outcomes of uterine rupture among women delivered at Felegehiwot referral hospital, Bahir Dar, Ethiopia: cross sectional study.BMC pregnancy and childbirth · 2018Article
- Determinants of uterine rupture among cases of Adama city public and private hospitals, Oromia, Ethiopia: a case control study.Reproductive health · 2018Article
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Abstract
backgroundUterine rupture is one of the most devastating complications of labour that exposes the mother and foetus to grave danger hence contributing to the high maternal and perinatal mortality and morbidity in Uganda. Every year, 6000 women die due to complications of pregnancy and childbirth, uterine rupture accounts for about 8% of all maternal deaths.
methodsCase-control design of women with uterine rupture during 2005-2006. Controls were women who had spontaneous vaginal delivery or were delivered by caesarean section without uterine rupture as a complication. For every case, three consecutive in-patient chart numbers were picked and retrieved as controls. All available case files, labour ward and theater records were reviewed.
resultsA total of 83 cases of uterine rupture out of 10940 deliveries were recorded giving an incidence of uterine rupture of 1 in 131 deliveries. Predisposing factors for uterine rupture were previous cesarean section delivery(OR 5.3 95% CI 2.7-10.2), attending < 4 antenatal visits (OR 3.3 95% CI 1.6-6.9), parity ≥ 5(OR 3.67 95% CI 2.0-6.72), no formal education (OR 2.0 95% CI 1.0-3.9), use of herbs (OR15.2 95% CI 6.2-37.0), self referral (OR 6.1 95% CI 3.3-11.2) and living in a distance >5 km from the facility (OR 10.86 95% CI 1.46-81.03). There were 106 maternal deaths during the study period giving a facility maternal mortality ratio of 1034 /100,000 live births, there were 10 maternal deaths due to uterine rupture giving a case fatality rate of 12%.
conclusionUterine rupture still remains one of the major causes of maternal and newborn morbidity and mortality in Mbarara Regional referral Hospital in Western Uganda. Promotion of skilled attendance at birth, use of family planning among those at high risk, avoiding use of herbs during pregnancy and labour, correct use of partograph and preventing un necessary c-sections are essential in reducing the occurrences of uterine rupture.
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