Abstract

Background: Maternal morbidity and mortality is one of the most challenging health problems that concern the globe over the years, especially in sub-Saharan Africa. Uterine rupture is one of the per partum complications which cause nearly about one out of thirteen maternal deaths and the remaining survivors encounter immediate and long-term complications. So aim of this study was to assess magnitude of uterine rupture and its associated factors among obstetric care women during per partum period in Debre Markos referral hospital.

Methods: An institution based cross-sectional study was employed. A total of 378 women were selected for the study. All charts of mothers who were systematically selected among received obstetric care service in the hospital were included for the study. Data were collected through structured checklist and entered by Epi-Data version 3.1 and analysed using SPSS version 23. Multiple logistic regression analysis was conducted to identify independent predictors of uterine rupture.

Results: In this study, the magnitude of uterine rupture was 8.7%. Among uterine ruptured cases, 24 (72.7%) were not followed with partograph throughout the course of labour. Those who were not followed by partograph had significant association with uterine rupture [AOR = 6.54; 95% CI: 1.99 - 21.52]. And also among mothers who had obstructed labour had factor for uterine rapture [AOR = 0.04; 95% CI = 0.02 - 0.10].

Conclusion and Recommendation: The study revealed that the magnitude of uterine rupture is high in Debre Markos referral hospital compared to other studies conducted in Ethiopia. Those mothers who were not followed by partograph and who had obstructed labour were significantly associated with uterine rupture. So, health care providers had better to follow labouring mothers with partograph and mothers themselves should seek care in the near health institutions when they start labour.

Keywords: Uterine Rupture; Obstetric Care; Per-Partum Period; Prevalence; Debre Markos

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Citation

Citation: Asmare Talie., et al. “Assessment of Uterine Rupture and Its Associated Factors among Women Managed for Obstetric Care in Debre Markos Referral Hospital, Amhara Region, Northeast, Ethiopia, 2018”. Acta Scientific Women's Health 2.2 (2020): 01-06.

Copyright

Copyright: © 2020 Asmare Talie., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.