Outcomes of a Series of Sudanese Patients with Uterine Rupture
DOI:
https://doi.org/10.47672/ajhmn.2077Keywords:
Uterine rupture, pregnancy, maternal outcomes, Sudan, H51Abstract
Purpose: Uterine rupture during pregnancy is rare, often fatal, and can cause serious complications for both mother and fetus. Therefore, this study evaluated the outcomes of a group of Sudanese patients who experienced uterine rupture.
Materials and Methods: This study comprised a group of 26 female individuals who had a uterine rupture and received medical care at the maternity department of El-Obeid Teaching Hospital in Sudan's North Kordofan state. The patients were admitted over the course of one year. We obtained the requisite identifying data and demographic characteristics from every subject.
Findings: The majority of cases have normal hospital stays (65%). About 35% of patients have prolonged hospital stays. The most common postoperative complication experienced was venous thromboembolism (VTE) (31%). Most patients presented with labor pain followed by vaginal bleeding and abdominal pain, constituting (57.7%), (27%), and (11.5%), in that order.
Implications to Theory, Practice and Policy: Sudan experiences a high prevalence of uterine rupture, which leads to quite high rates of adverse outcomes during childbirth, despite having relatively low rates of premature death. The most unfavorable outcomes are extended hospitalization, venous thromboembolism (VTE), and the need for blood transfusion. Careful follow-up during pregnancy and choosing the appropriate delivery mode is important.
Downloads
References
Arusi TT, Zewdu Assefa D, Gutulo MG, Gensa Geta T. Predictors of Uterine Rupture After One Previous Cesarean Section: An Unmatched Case-Control Study. Int J Womens Health. 2023 Oct 4;15:1491-1500. doi: 10.2147/IJWH.S427749.
Xie J, Lu X, Liu M. Clinical analysis of complete uterine rupture during pregnancy. BMC Pregnancy Childbirth. 2024 Apr 8;24(1):255. doi: 10.1186/s12884-024-06394-2.
Chen L, Li H, Peng J, Li M, Wang Y, Zhao K, Yang L, Zhao Y. Silent uterine rupture in the term pregnancy: Three case reports. Medicine (Baltimore). 2024 Mar 8;103(10):e37071. doi: 10.1097/MD.0000000000037071.
Deshmukh U, Denoble AE, Son M. Trial of labor after cesarean, vaginal birth after cesarean, and the risk of uterine rupture: an expert review. Am J Obstet Gynecol. 2024 Mar;230(3S):S783-S803. doi: 10.1016/j.ajog.2022.10.030.
Amikam U, Hochberg A, Abramov S, Lavie A, Yogev Y, Hiersch L. Risk factors for maternal complications following uterine rupture: a 12-year single-center experience. Arch Gynecol Obstet. 2024 May;309(5):1863-1871. doi: 10.1007/s00404-023-07061-1.
Haithem Abdallah Ali Ismail et al (2024). Uterine Rupture Factors and Neonatal Outcomes: Sudanese Cases. Sch Int J Obstet Gynec, 7(4): 187-194.
Wetzler S, Cabrera C, Bernstein PS. Spontaneous uterine rupture complicated by bilateral pulmonary emboli: A case report. Case Rep Womens Health. 2024 Apr 10;42:e00608. doi: 10.1016/j.crwh.2024.e00608.
Bukhari S, Fatima S, Barakat AF, Fogerty AE, Weinberg I, Elgendy IY. Venous thromboembolism during pregnancy and postpartum period. Eur J Intern Med. 2022 Mar;97:8-17. doi: 10.1016/j.ejim.2021.12.013.
Grandone E, Colaizzo D, Mastroianno M, Petruzzelli F, di Mauro L, Carella M, Tiscia GL, Ostuni A. Pulmonary embolism associated with transfusion after severe post-partum haemorrhage: is less more? Blood Transfus. 2020 Jan;18(1):13-19. doi: 10.2450/2019.0060-19.
Halassy SD, Eastwood J, Prezzato J. Uterine rupture in a gravid, unscarred uterus: A case report. Case Rep Womens Health. 2019 Oct 17;24:e00154. doi: 10.1016/j.crwh.2019.e00154.
Revicky V, Muralidhar A, Mukhopadhyay S, Mahmood T. A Case Series of Uterine Rupture: Lessons to be Learned for Future Clinical Practice. J Obstet Gynaecol India. 2012 Dec;62(6):665-73. doi: 10.1007/s13224-012-0328-4.
Varrias D, Spanos M, Kokkinidis DG, Zoumpourlis P, Kalaitzopoulos DR. Venous Thromboembolism in Pregnancy: Challenges and Solutions. Vasc Health Risk Manag. 2023 Jul 20;19:469-484. doi: 10.2147/VHRM.S404537.
Togioka BM, Tonismae T. Uterine Rupture. [Updated 2023 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559209/
Gebretsadik A, Hagos H, Tefera K. Outcome of uterine rupture and associated factors in Yirgalem general and teaching hospital, southern Ethiopia: a cross-sectional study. BMC Pregnancy Childbirth. 2020 Apr 28;20(1):256. doi: 10.1186/s12884-020-02950-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Haitham Abdalla Ali Ismail, Ahmed Elnour Adam Zakaria, Nawal Ali Ahmed Mohamed, Mohammed Adam Mohammed Ali, Abuelez Hassan Ibrahem Abdallah, Hussain Gadelkarim Ahmed, Eldaw B. S. Mohamed
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.