Socio demographic profile and presentations of patients with ruptured gravid uterus in Calabar Nigeria

Niger J Med. 2008 Jan-Mar;17(1):78-82. doi: 10.4314/njm.v17i1.37362.

Abstract

Background: To study the Socio-demographic profiles and mode of clinical presentations of with uterine rupture in pregnancy in Calabar, Nigeria.

Method: Medical records of 67 patients managed for ruptured gravid uterus over 10 years in Maternity section of the University of Calabar Teaching Hospital Calabar, Nigeria were reviewed.

Results: An incidence of 1 in 213 of all deliveries during the period was established. Majority (49.2%) were aged between 31 to 40 years and 43.3% had no formal education. Unemployed patients were 29.9%, 42.3% did not book for antenatal care while 32.8% were attended to by traditional birth attendants (TBA) and in the churches. The Commonest clinical presentations were fetal heart rate abnormalities (52.2%) and maternal collapse (46.3%). Majority (50.7%) resulted from neglected obstructed labour.

Conclusion: Ruptured uterus is a problem of ignorance among women of low socioeconomic group with most of them having unskilled and substandard care during pregnancy and delivery. Improvement in Socio-economic conditions and modification of some harmful cultural practices against women generally will reduce the problem of rupture uterus in our society.

MeSH terms

  • Adolescent
  • Adult
  • Demography
  • Epidemiologic Studies
  • Female
  • Health Education
  • Health Knowledge, Attitudes, Practice
  • Heart Rate, Fetal
  • Humans
  • Incidence
  • Infant, Newborn
  • Male
  • Maternal Welfare*
  • Nigeria
  • Obstetric Labor Complications
  • Poverty
  • Pregnancy
  • Pregnancy Outcome
  • Prenatal Care*
  • Risk Factors
  • Social Class*
  • Socioeconomic Factors
  • Uterine Rupture / diagnosis
  • Uterine Rupture / epidemiology*
  • Uterine Rupture / etiology