MANAGEMENT OUTCOMES AND FACTORS ASSOCIATED AMONG WOMEN WITH UTERINE RUPTURE IN CHIRO GENERAL HOSPITAL, WEST HARARGE,OROMIA REGION,ETHIOPIA.

Abstract

Background: Uterine rupture is a serious life threatening obstetric complication during child birth. The extent to which it happened and its management outcome is unknown in ChiroGeneral Hospital (CGH). Objective;The aim of the study was to determine management outcomes and factors associated among women with uterine rupture inChiro General Hospital, in Oromia, East Ethiopiafrom September 1, 2013 – Augest 30, 2017. Data was collected from July 15-20 /2018. Method;A retrospective cross sectional analysis from September 1, 2013 – Augest 30, 2017 was undertaken with complete survey on all cases of uterine rupture during labor among women who delivered in Chiro General Hospital. The calculated sample sizes 73, (p = 50%) and using of correction formula.Since the calculated value was no great difference with data present at the hospital seen during preliminary survey which is 90 cases. For this reason all cases of uterine rupture were included in the sampling technique which was 90.Secondary data collected using structured check list by trained data collectors. The collected data was checked for its Completeness, entered, edited, cleaned , analyzed by bivariate & multivariate logistic regression by using EPIDATA 3.1 and SPSS version 22.0.The data was described and presented using narrative text, tables and graphs. Result;-A total of 90 cases of uterine rupture and a total of 14,713 deliveries conducted in Chiro General Hospital. Sixty seven(74.4 %) of cases in the age group of 20 - 35 years.The most common causes were CPD74(82.2%), malpresentation and malposition 7(7.8%), previous uterine scar 6(6.7%), 3(3.3%) of uterine rupture were due to augmentation and induction. Sixteen (17.7 %) of maternal death and84 (93.3%) of neonatal death and patient were stayed in hospital 1-20 days. In this study prolonged labor(AOR=8.996; 95%CI: 1.545, 52.378), mother developed shock (AOR=9.92; 95%CI: 1.735, 56.707) and sepsis(AOR=7.02; 95%CI: 0.001, 0.14) had significant association with management outcome of uterine rupture. Conclusion & Recommendation;-Uterine rupture was a serious obstetrics emergency caused by prolonged neglected labor and it was catastrophic and preventable obstetrics complications.Proper and timely labor followup to prevent prolonged labor and its complication can reduce feto- maternal morbidity and mortality caused by uterine rupture.