{"title":"[马里第一参考结构中子宫破裂的风险因素和管理：布古尼卫生区的案例]。","authors":"Seydou Fané, Amadou Bocoum, Soumana Oumar Traoré, Ibrahima Kanté, Cheickna Sylla, Abdoulaye Sissoko, Alassane Traoré, Mamadou Sima, Siaka Amara Sanogo, Aminata Kouma, Abdoulaye Sanogo, Mala Sylla, Adane Adiawiakoye, M Coulibaly, Ibrahima Teguété, Youssouf Traoré, Niani Mounkoro","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p><b>The objective</b> was to assess the risk factors for and to suggest therapeutic aspects.</p><p><strong>Materials and methods: </strong>We carried out a case-control study at the Bougouni Reference health center in 2019.</p><p><strong>Results: </strong>From January to December 31, 2019; out of 1161 deliveries, 43 uterine rupture were recorded, 3.7% corresponding to one uterine rupture for 27 deliveries. Patients 35 years and older were more affected by uterine rupture (44.2%) with OR<sub>aIC95%</sub> = 6.3 [1.5 - 26.3]. Obstetric evacuations had an OR<sub>aIC95%</sub> = 25.6 [7.8-83.7]. All of the patients were housewives (97.7%) versus (82.3%) controls with ORaIC95% = 8.9 (1.1-69). Pauciparous and multiparous had an OR<sub>aIC95%</sub> = 6.2 [1.8 - 20.3] and 4.1 [1.3 - 12.9], respectively. The uterine scar (20.9%) of cases versus 8.1% of controls had a 95% OR<sub>aIC95%</sub> = 2.9 [1.1 - 8.7]. Indeed the absence of ANC was a risk factor, OR<sub>aIC95%</sub> = 3.0 [1.3 - 6.9]. The time to uterine rupture was < 6 hours in 95%. In fact 34 complete uterine rupture (79.1%) and 9 incomplete uterine rupture (20.9) were noted. Only 2.3% of cases gave birth vaginally. Treatment of uterine rupture was based on surgery (100%) supplemented by shock (51.2%) of cases and infection (100%) of cases.</p><p><strong>Conclusion: </strong>Uterine rupture is common in our countries under medical care. Its effective prevention involves strategies aimed at acting on risk factors.</p>","PeriodicalId":74061,"journal":{"name":"Le Mali medical","volume":"37 3","pages":"15-22"},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Risk factors and management of uterine rupture in a 1st reference structure in Mali: case of the Bougouni health district].\",\"authors\":\"Seydou Fané, Amadou Bocoum, Soumana Oumar Traoré, Ibrahima Kanté, Cheickna Sylla, Abdoulaye Sissoko, Alassane Traoré, Mamadou Sima, Siaka Amara Sanogo, Aminata Kouma, Abdoulaye Sanogo, Mala Sylla, Adane Adiawiakoye, M Coulibaly, Ibrahima Teguété, Youssouf Traoré, Niani Mounkoro\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>The objective</b> was to assess the risk factors for and to suggest therapeutic aspects.</p><p><strong>Materials and methods: </strong>We carried out a case-control study at the Bougouni Reference health center in 2019.</p><p><strong>Results: </strong>From January to December 31, 2019; out of 1161 deliveries, 43 uterine rupture were recorded, 3.7% corresponding to one uterine rupture for 27 deliveries. Patients 35 years and older were more affected by uterine rupture (44.2%) with OR<sub>aIC95%</sub> = 6.3 [1.5 - 26.3]. Obstetric evacuations had an OR<sub>aIC95%</sub> = 25.6 [7.8-83.7]. All of the patients were housewives (97.7%) versus (82.3%) controls with ORaIC95% = 8.9 (1.1-69). Pauciparous and multiparous had an OR<sub>aIC95%</sub> = 6.2 [1.8 - 20.3] and 4.1 [1.3 - 12.9], respectively. The uterine scar (20.9%) of cases versus 8.1% of controls had a 95% OR<sub>aIC95%</sub> = 2.9 [1.1 - 8.7]. Indeed the absence of ANC was a risk factor, OR<sub>aIC95%</sub> = 3.0 [1.3 - 6.9]. The time to uterine rupture was < 6 hours in 95%. In fact 34 complete uterine rupture (79.1%) and 9 incomplete uterine rupture (20.9) were noted. Only 2.3% of cases gave birth vaginally. Treatment of uterine rupture was based on surgery (100%) supplemented by shock (51.2%) of cases and infection (100%) of cases.</p><p><strong>Conclusion: </strong>Uterine rupture is common in our countries under medical care. Its effective prevention involves strategies aimed at acting on risk factors.</p>\",\"PeriodicalId\":74061,\"journal\":{\"name\":\"Le Mali medical\",\"volume\":\"37 3\",\"pages\":\"15-22\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Le Mali medical\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Le Mali medical","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
[Risk factors and management of uterine rupture in a 1st reference structure in Mali: case of the Bougouni health district].
The objective was to assess the risk factors for and to suggest therapeutic aspects.
Materials and methods: We carried out a case-control study at the Bougouni Reference health center in 2019.
Results: From January to December 31, 2019; out of 1161 deliveries, 43 uterine rupture were recorded, 3.7% corresponding to one uterine rupture for 27 deliveries. Patients 35 years and older were more affected by uterine rupture (44.2%) with ORaIC95% = 6.3 [1.5 - 26.3]. Obstetric evacuations had an ORaIC95% = 25.6 [7.8-83.7]. All of the patients were housewives (97.7%) versus (82.3%) controls with ORaIC95% = 8.9 (1.1-69). Pauciparous and multiparous had an ORaIC95% = 6.2 [1.8 - 20.3] and 4.1 [1.3 - 12.9], respectively. The uterine scar (20.9%) of cases versus 8.1% of controls had a 95% ORaIC95% = 2.9 [1.1 - 8.7]. Indeed the absence of ANC was a risk factor, ORaIC95% = 3.0 [1.3 - 6.9]. The time to uterine rupture was < 6 hours in 95%. In fact 34 complete uterine rupture (79.1%) and 9 incomplete uterine rupture (20.9) were noted. Only 2.3% of cases gave birth vaginally. Treatment of uterine rupture was based on surgery (100%) supplemented by shock (51.2%) of cases and infection (100%) of cases.
Conclusion: Uterine rupture is common in our countries under medical care. Its effective prevention involves strategies aimed at acting on risk factors.
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