| Literature DB >> 3999069 |
T Elkins, E Onwuka, T Stovall, M Hagood, D Osborn.
Abstract
Uterine rupture in the developing world remains a significant problem. We treated 45 such cases. The predisposing factors included cephalopelvic disproportion (62%), grand multiparity (33%), previous cesarean section (24%), placental pathology (15%) and abnormal presentation (20%). The factors associated with maternal death included sepsis (71%), macerated stillborn infant (60%), vulvar edema (50%), hand presentation (50%), prolonged labor (42%) and hysterectomy (37.5%). Hemodynamic resuscitation and prompt surgical intervention remain the mainstays of therapy.Entities:
Keywords: Africa; Africa South Of The Sahara; Biology; Cultural Background; Delivery Of Health Care; Demographic Factors; Developing Countries; Diseases; English Speaking Africa; Genital Effects, Female; Genitalia; Genitalia, Female; Gynecologic Surgery; Health; Health Facilities; Health Services; Hospitals; Hysterectomy; Incidence; Indigenous Health Services; Maternal Mortality; Medicine, Traditional; Mortality; Nigeria; Obstetrical Surgery; Perforations; Physiology; Population; Population Characteristics; Population Dynamics; Pregnancy Complications; Prenatal Care; Research Report; Rural Health Services; Rural Population; Signs And Symptoms; Surgery; Treatment; Tubal Ligation; Tubal Occlusion; Urogenital Surgery; Urogenital System; Uterine Effects; Uterine Perforation; Uterus; Western Africa
Mesh：
Year: 1985 PMID： 3999069
Source DB: PubMed Journal: J Reprod Med ISSN： 0024-7758 Impact factor: 0.142