Maternal and perinatal outcomes of uterine rupture in the Kassala Hospital, east Sudan: 2006-2009.

Medical files of patients with ruptured uterus during 2006-2009 at the Kassala Hospital, east Sudan were reviewed. Of 13,569 deliveries, there were 28 cases of ruptured uterus (two per 1,000 deliveries). The majority of these patients had parity ≥5 (53.5%), were illiterate (82.1%), rural residence (75%) and unbooked (92.8%). The identified causes of ruptured uterus were: obstructed labour (50%), previous caesarean section (32.1%). Caesarean hysterectomy was carried out in (39.3%), repair in (32.2%) and repair with tubal ligation in (28.5%). There was 14.3% and 92.8% maternal and perinatal mortality, respectively. A total of 21.4% and 7.14% developed sepsis and vesicovaginal fistulae, respectively.