caa a22 4500 44530815X CHVBK 20180317142620.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s00404-010-1488-z doi (NATIONALLICENCE)springer-10.1007/s00404-010-1488-z Ruptured uterus: the unabating obstetric catastrophe in South eastern Nigeria [Elektronische Daten] [C. Esike, O. Umeora, J. Eze, G. Igberase] Background: Ruptured uterus is an obstetric catastrophe and results in significant maternal and perinatal morbidity and mortality in Nigeria. Methods: To review the incidence and management of ruptured uterus over the 8-year period (2000-2004 and 2007-2009) and analysis of records of cases of ruptured uterus during the period under review in a descriptive study. Results: The incidence of uterine rupture is 1 in 81 deliveries with a contribution of 13.8% to maternal mortality in Ebonyi State University Teaching Hospital, Nigeria. There was high fetal wastage as 99 (97.1%) of the babies died. The highest incidence of ruptured uterus was found in the para 2-4 group. Teenagers constituted 4 (3.96%) of the cases. Majority of the rupture, 69 (65.4%) occurred anteriorly. Fifty-seven (56.4%) had only repair of the rupture done. The greatest complication was septicemia, which occurred in 32 (31.7%) of the patients. Conclusion: The incidence of uterine rupture is very high in our center. It is one of the highest causes of maternal and perinatal morbidity and mortality. There should be a multi-pronged effort aimed at improving the utilization of medical services by the populace and the health institutions offering efficient obstetric emergency care. Springer-Verlag, 2010 Ruptured uterus nationallicence Maternal mortality nationallicence Esike C. Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria aut Umeora O. Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria aut Eze J. Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria aut Igberase G. Department of Obstetrics and Gynaecology, Delta State Univeristy, Abraka, Nigeria aut Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 993-997 0932-0067 283:5<993 2011 283 404 https://doi.org/10.1007/s00404-010-1488-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1488-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Esike C. Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria aut NATIONALLICENCE 700 1- Umeora O. Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria aut NATIONALLICENCE 700 1- Eze J. Department of Obstetrics and Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria aut NATIONALLICENCE 700 1- Igberase G. Department of Obstetrics and Gynaecology, Delta State Univeristy, Abraka, Nigeria aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 993-997 0932-0067 283:5<993 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer