TITLE:
Uterine Rupture: Epidemiological Aspects, Etiologies and Maternal-Fetal Prognosis in the Obstetric Gynecology Department of the Donka CHU Conakry National Hospital, Guinea
AUTHORS:
Boubacar Siddi Diallo, Ibrahima Sory Balde, Ibrahima Conte, Mamadou Hady Diallo, Ousmane Balde, Ibrahima Sylla, Abdourahmane Diallo, Oumou Hawa Bah, Loua Avit, Telly Sy, Namory Keita
KEYWORDS:
Uterine Rupture, Etiologie, Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.4,
April
25,
2019
ABSTRACT: Objectives: The objectives of this work were to calculate the
frequency of the uterine rupture, to describe the epidemiological profile, to
identify the etiologies and to establish the maternal prognosis and foetal. Methodology: It was about a descriptive
survey with compilation of the data in two phases: a retrospective spreading on
one period of 6 years and the other forecasting of 1 one year achieved to the
service of Obstetric Gynecology of the hospital National Donka, Fallen from Conakry, Guinea. Results: We recorded 24.030 childbirths of which 188 cases
of uterine rupture either a frequency of 0.78, which represents an uterine
rupture for 128 childbirths. The epidemiological profile was the one of a woman
of 24 to 28 years (31.91%), housewives (69.14%), without prenatal follow-up
(47.87%), big multipare (37.76%) and évacuées (78.78%). The motives of consultation have been
dominated by the hémorragie (95.74%). The rupture was of transverse type in the
majority of the case (63.82%). The hysterorraphy was the most performed
surgical procedure which is 85.10% followed by the total sub hysterectomy in
10.63%. The newborns of birth weight superior or equal to 4000 g represent 25.53%. The maternal morbidity has been
dominated by the anemia of the postpartum (60%). We recorded a rate of maternal létalité of
12.76%. The maternal deaths were due to the hemorrhage in 78.57%. The living
newborns endured a respiratory distress in 9.57% and those stillborn represent
87.23%. The etiologies of uterine rupture were dominated by fetal-pelvic
disproportions 48.93% followed by an iatrogenic uterine rupture 22.33%. Conclusion: The reduction of this uterine rupture rate would pass by the recentered
prenatal consultation offered, the one of obstetric cares and complete néonataux
of emergency, the discount to level of the beneficiaries of the basic
structures so that they can discover the cases in time susceptible to drag a
rupture to evacuate better in time and the promptness in the hold in charge
since the admission of the emergencies in the structures of superior level.