Uterine rupture: maternal and fetal prognosis at the Sylvanus Olympio university hospital of Lomé

Abstract

Introduction: In order to evaluate the extent of uterine rupture (UR), we initiated this work whose general objective is to determine the maternal-fetal prognosis of UR.

Methods: This is a descriptive and analytical cross-sectional study, carried out at the Gynecology Obstetrics clinic of the CHU SO, from September 1st, 2020 to August 31, 2021, in patients who had been diagnosed with RU during the pre-, per- or post-partum period, and who were managed at the clinic.

Results: The prevalence was 0.3%. There were 37 ruptures (56.1%) in healthy uteri. Forty-nine (75.2%) patients were referred. They came by taxi in 68.2% of cases. In 9.8% of cases, maternal death was related to haemorrhagic shock. Twenty-two patients presented with late complications: 68.2% anaemia, 13.6% parietal suppuration and 18.2% endometritis. Forty perinatal deaths (60.6%) were recorded. In 53.8% of the cases, the newborns were non-crying at birth and received intensive care. There was a statistically significant difference between the time to management of UR and perinatal survival with a P value of 0.043.

Conclusion: The prevention of uterine rupture requires, among other things, quality prenatal consultation, good monitoring of labour, and a better geographical distribution of health facilities