Abstract
Background: Uterine rupture is tearing of the uterine wall during labor or delivery. Rupture of a previously unscarred uterus is usually a catastrophic event resulting in death of the baby, extensive damage to the uterus and sometimes even maternal death from blood loss. The overall incidence of uterine rupture is 1 in 2,000 deliveries. In developing countries, uterine rupture is more prevalent and is a serious problem. Objective: To Assess the associated factors, management and complications of uterine rupture in Mizan-Tepi University Teaching hospital, Mizan-Aman town, Bench- Maji Zone, SNNPRS, South west Ethiopia, 2016/17. Methodology: A Hospital based unmatched multifactorial case-control study was employed from 1st October - 30th October 2016. The required sample size gave us a total of 352 Delivery Charts by considering case to control ratio of 1:4, of these 71 were Delivery Charts with Uterine Rupture and 281 were Delivery Charts without uterine Rupture were selected by using lottery method. Data was retrieved using pre-tested and structured data extraction format from operation notes, delivery registers and patients cards documented from 2013-2015 G.C. Using SPSS version 20 software, descriptive statistics ,bivariate and multivariate logistic regression analysis was done and p-value 18 hrs (OR 2.769 95% CI 1.231-6.226), parity ≥ 5(AOR 6.16 95% CI 2.886-13.148), Having Obstructed Labor (AOR 2.714 95% CI 1.228-5.720), No use of Partograph (AOR 2.248, 95% CI 1.049-4.817). There were 7 maternal deaths due to uterine rupture during the study period giving a mortality rate of ~0.07%. Conclusion: Uterine rupture still remains one of the major causes of maternal and newborn morbidity and mortality. The prenatal mortality for both case and controls is high in Mizan-Tepi University Teaching Hospital.
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