Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2006, 150(2):279-283 | DOI: 10.5507/bp.2006.042

Uterine rupture during pregnancy and delivery among women attending the Al-Tthawra Hospital in Sana'a City Yemen Republic

Ishraq Dhaifalaha,b, Jiri Santavyb, Helena Fingerovac
a Department of Human Genetic and Fetal Medicine, Faculty of Medicine and Dentistry, Palacky University and University Hospital, Olomouc, Czech Republic
b Department of Obstetric and Gynecology, Al-thawra Hospital, Sana',a University, Sana',a, Yemen Republic
c Department of Obstetric and Gynecology, University Hospital, Olomouc

Background: About 20 percent of the population in developing countries is composed of women of reproductive age. These women face one of the catastrophic risks of pregnancy "uterine rupture". Studies conducted in the developing world give strong evidence that uterine rupture is a major health problem in these countries with the rate being high in rural areas.

Aim: The purpose of the study was to estimate the incidence and determine the risk factors and outcome of uterine rupture among women using the referral hospital Al-thawra in Sana'a City, Yemen republic and to extrapolate the data to the whole of Yemen.

Methods: The data was collected retrospectively; by interviewing, examining and following up all the cases of uterine rupture coming to the hospital during a period of 9 months between September 1996 and May 1997. A descriptive analysis and distribution frequency of the commonest causes of uterine rupture in 37 cases are presented taking into account medical, reproductive, health services provided and sociodemographic factors.

Results: Incidence of uterine rupture in Yemen was found to be (0.63), obstructed labor 83 %, contracted pelvis 19 %, previous surgery in 48 %, Oxytocine infusion in 42 %. Grand-multiparty was in 65 % and maternal age over 35 years in 50 %. Antenatal care was only in 34 %.

Conclusion: The high percentage of malpresentation, cephalopelvic disproportion, previous uterine surgery accompanied by the high percentage of use of Oxytocin in this study highlights very clearly the role of this medication in increasing the risk of uterine rupture in Yemen.

Keywords: Rupture uterus, Incidence, Causes, Maternal mortality and morbidity, Prenatal mortality and morbidity,

Received: April 28, 2006; Accepted: June 6, 2006; Published: December 1, 2006  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Dhaifalah, I., Santavy, J., & Fingerova, H. (2006). Uterine rupture during pregnancy and delivery among women attending the Al-Tthawra Hospital in Sana'a City Yemen Republic. Biomedical papers, 150(2), 279-283. doi: 10.5507/bp.2006.042
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Suner S, Jagminea L et al. Fatal spontaneous rupture of a gravid uterus: case report and literature. J Emerg Med, 1996; 14:1815. Go to original source... Go to PubMed...
    2. Abdulghani N. Risk factors for maternal mortality among women using Hospitals in North Yemen. A Thesis presented for the degree of PhD. in the Faculty of Medicine University of London, 1993.
    3. Central Statistical Organization. The Second Population Policy Conference: Yemen Republic, National population commission, Sanaa, 1996.
    4. Belsey M, Roysotn E. Overview of the Heath of Women and Children. Paper prepared for International Conference on Better Health for Women and Children through Family Planning, Nairobi, 1987; 59 October 1987.
    5. Mahler H. The Safe Motherhood Initiative: A call for action. The Lancet. 1987; 21:668670. Go to original source...
    6. Kindig M, Cardwell M. Delayed postpartum uterine dehiscence. A case report. J Reprod Med; Jul, 1998; 43:5912.
    7. World Health Organization. Studying Maternal Mortality in Developing Countries: Rates and Causes. WHO document FHE/ 87.7 Geneva: WHO, 1987.
    8. UNICEF. The Situation of Children and Women in Rep. of Yemen, Sanaa, 1992.
    9. UNICEF. The State of the Worlds Children Report Oxford University, Press New York, 1996.
    10. Raczynski A et al. An assessment of the incidence of hemorrhage as a cause of maternal mortality in Poland 19851990. Acta Obstet et Gynecoloica, 1997; 76:24.
    11. Campbell, Graham. Measuring the determinants of maternal morbidity and mortality: Defining and selecting outcomes and determinants, and demonstrating association. Maternal and child epidemiology unit publication, London: London School of Hygiene and Tropical Medicine, 1991b.
    12. Central Planning Organization. The National Population and Housing. Sanaa Yemen Arab Republic, 1990a.
    13. Graham WJ, Campbell OMR. Measuring maternal health: defining the issues. Maternal and Child Epidemiology Unit Publication. London: London School of Hygiene and Tropical Medicine, 1991.
    14. The Lancet. The Safe Motherhood Initiative: A Call to Action. March; 1987; 21:668670.
    15. Yemen family health survey, principal report. League of. Arab states social sector, 2005
    16. Chamiso R. Uterine rupture in Shashemene General Hospital, South Shoa. Ethiop Mwd J: 1995; 33:2517.
    17. El Mansouri A. Accouchements sur uterus cicatriciel. Apropos de 150 cas. Rev Fr Gyencol Obstet, 1994; 89:60612.
    18. Lynch JC, Pardy JP. Uterine rupture and scar dehiscence. A fiveyear survey. Anaesth Intensive care. 1996; 24:704. Go to original source...
    19. Gardiel F, Daly S, Turner Mj. Uterine rupture in pregnancy reviewed. Eur J Obstet Gynecol Report Biol. 1994; 56:10. Go to original source...
    20. Deneke F. Brief communication, Ruptured uterus in Ethiopia. Int J Gyn Obst, 1996; 54:175176. Go to original source...
    21. Abbassi H et al. Accouchement des uterus cicatriciels: pet-on elargir lepreuve uterine. Gynecol Obstet Biol Reprod, 1998; 27:4529.
    22. Cowan KK et al. Trial of labor following Caesarean delivery. Obstet Gynecol, 1994; 83:9336. Go to original source...
    23. Ferguson RK, Reid DE. Rupture of the uterus: A twenty-year report from the Boston Lying-in Hospital. Am J Obstet Gynecol, 1958; 76:17280. Go to original source... Go to PubMed...
    24. Miller et al. Rupture of the unscarred uterus. Obstetric and Gynecology, 1997; 89:671673. Go to original source...
    25. Azem F et al. Uterine rupture with the use of a low-dose vaginal PGE2 tablet. Acta Obstet Gynecol Scand, 1993; 72:3167. Go to original source... Go to PubMed...
    26. Phuapralit W et al. Uterine rupture and labor induction with prostaglandins. J Med Assoc Thai, 1993; 76:2925.
    27. Sweeten KM, Graves WK, Athanassiou A. spontaneous rupture of the unscarred uterus. Am J Obstet Gynecol, 1995; 172:18516. Go to original source... Go to PubMed...
    28. Khan NH. Rupture of the uterus. JPMA J Pak Med Assoc, 1993; 43:1746.
    29. Longombe AO, Lusi KM, Nickson P. Obstetric uterine ruptures in rural area in Zaire. Trop Doct, 1994; 24:903. Go to original source... Go to PubMed...
    30. Mulumba N. Rupture of the uterus. BMJ, 1996; 312:12045.
    31. Zanconato G et al. Audit of uterine rupture in Maputo: a tool for assessment of obstetric care. Gynecol Obstet Invest, 1994; 38:1516. Go to original source... Go to PubMed...
    32. World Health Organization. Monitoring of. Reproductive Health: Selecting short list national and global indicators. 1997.

    Return to the content