Uterine rupture: Epidemiology, Risk Factors and Maternal-Fetal Prognosis at the Bougouni Reference Health Center

Abstract

Introduction: the objective of this study was to study the epidemiological aspects, risk factors and maternal-fetal prognosis of uterine rupture in the Gynecology-Obstetrics Unit of the CSRéf of Bougouni Methodology: We carried out a case-control study from January 1 to December 31, 2019 in the Gynecology-Obstetrics Unit of the Bougouni Reference Health Center. All patients treated in the uterine rupture department were included and two controls (delivery without rupture) for one case (uterine rupture). The data were entered and analyzed on SPSS version 21 software. The significance threshold has been set at 5%. The association between 2 qualitative variables was studied by the Chi². Results: At the end of our study, we had recorded 43 cases of uterine rupture out of a total of 1161 deliveries, i.e. a frequency of 3.7%. The average age of the cases: 30.77 ± 2 years with extremes of 18 and 40 years compared to 26.01 ± 1 years for controls with extremes of 14 and 42 years. Ninety-five percent of our patients for the cases were out of school compared to 86% for the controls, 97% were housewives compared to 82% for the controls. Risk factors were dominated: caesarean section scar (p=0.038); OR=2.99, non-follow-up of pregnancy (p=0.002) and residence in a rural area (p=0.000) and intergenerational interval ≤ 2 years (Chi-square = 9.1735; p = 0.002). The maternal-fetal prognosis is reserved with 1 case of maternal death (2.3%) and 28 cases of perinatal death (65.1%). Keywords: Uterine rupture, Risk factors, maternal-fetal prognosis, case-control study.