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DECISION-INTERVENTION INTERVAL IN RUPTURED UTERI IN ILE-IFE, NIGERIA
Abstract
Objective: To determine the decision-intervention interval in ruptured uterus with a view
of overhauling the management strategy thereby improving the maternal and perinatal
outcome.
Design: Cross-sectional survey based on secondary data done between 1990-1999.
Setting: Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria.
Subjects: One hundred and two consecutive women who had uterine rupture.
Results: The decision-surgical intervention interval ranged from 30 minutes to 4.5 hours.
The major reason for delay was unavailability of compatible blood (88.2%), followed
by lack of electricity (4.9%), unsterile instruments (3.9%), waiting for ambulance to
get senior obstetricians (2.9%), delay in arrival of anaesthetist (1.9%) and neonatologists
(1.9%). The peri-natal mortality rate (PNMR) was 843 per 1000 total births and maternal
mortality rate (MMR) 4902 per 100,000 births.
Conclusion: The maternal and perinatal outcome in uterine rupture would be improved
by early diagnosis and avoidance of preoperative delay through availability of essential
obstetric services.
of overhauling the management strategy thereby improving the maternal and perinatal
outcome.
Design: Cross-sectional survey based on secondary data done between 1990-1999.
Setting: Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria.
Subjects: One hundred and two consecutive women who had uterine rupture.
Results: The decision-surgical intervention interval ranged from 30 minutes to 4.5 hours.
The major reason for delay was unavailability of compatible blood (88.2%), followed
by lack of electricity (4.9%), unsterile instruments (3.9%), waiting for ambulance to
get senior obstetricians (2.9%), delay in arrival of anaesthetist (1.9%) and neonatologists
(1.9%). The peri-natal mortality rate (PNMR) was 843 per 1000 total births and maternal
mortality rate (MMR) 4902 per 100,000 births.
Conclusion: The maternal and perinatal outcome in uterine rupture would be improved
by early diagnosis and avoidance of preoperative delay through availability of essential
obstetric services.
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