Correlation between Births by Caesarean Section and Uterine Rupture

Abstract

Context and Objective: Continued increases in the number of births by caesarean section in many countries of the world, have influenced at increased the number of uterine rupture. The purpose of this paper is to determine the correlation between births by caesarean section and uterine rupture. Design and Setting: Cross-sectional study. Designed as a pre-defined protocol and a search was conducted by non-electronic databases (with the written-protocol of the births) of Obstetrics and Gynaecology Clinic/University Clinical Centre of Kosovo. Methods: Data for uterine rupture were collected for five years (from 2010 to 2014), only in women who gave birth by caesarean section. The cases with uterine rupture have divided over the years, as has happened rupture, then are made statistical calculations. Results: Of the twenty-two cases reported with uterine rupture during five years at the Department of Obstetrics and Gynaecology, were counted in all cases (100 per cent). They were twenty-two cases of uterine rupture by the total 15526 women that have born by Caesarean Section during five years. Calculation of incidence has come out that is 14 per 10,000 deliveries with Caesarean Section and significance level for observed proportion was P<0.0001 (95% confidence interval CI; 21.35 to 22.66). From 2010 to 2014, have a continuous increase of uterine rupture, if we make a comparison the percentage of uterine rupture of 2010, with a percentage of 2014, have a significant difference (in favor of the increase); 0.07 % versus 0.17%, odds ratio OR=0.82 (95% Cl; 0.016 to 41.70). Conclusions: We conclude that as much as increases number of the births with caesarean delivery, will increase the cases with uterine rupture. The incidence rates of the uterine rupture in Kosovo are 14 per 10,000 deliveries with Caesarean Section (as estimated by this study five old; 2010 to 2014). Key words: caesarean section, uterine rupture, Kosovo.