SYSTEMATIC REVIEW: WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture
- 24 July 2005
- journal article
- review article
- Published by Wiley in BJOG: An International Journal of Obstetrics and Gynaecology
- Vol. 112 (9), 1221-1228
- https://doi.org/10.1111/j.1471-0528.2005.00725.x
Abstract
Objective To determine the prevalence of uterine rupture worldwide. Design Systematic review of all available data since 1990. Setting Community‐based and facility‐based reports from urban and rural studies worldwide. Sample Eighty‐three reports of uterine rupture rates are included in the systematic review. Most are facility based using cross‐sectional study designs. Methods Following a pre‐defined protocol an extensive search was conducted of 10 electronic databases as well as other sources. Articles were evaluated according to specified inclusion criteria. Uterine rupture data were collected along with information on the quality of reporting including definitions and identification of cases. Data were entered into a database and tabulated using SAS software. Main outcome measures Prevalence of uterine rupture by country, period, study design, setting, participants, facility type and data source. Results Prevalence figures for uterine rupture were available for 86 groups of women. For unselected pregnant women, the prevalence of uterine rupture reported was considerably lower for community‐based (median 0.053, range 0.016–0.30%) than for facility‐based studies (0.31, 0.012–2.9%). The prevalence tended to be lower for countries defined by the United Nations as developed than the less or least developed countries. For women with previous caesarean section, the prevalence of uterine rupture reported was in the region of 1%. Only one report gave a prevalence for women without previous caesarean section, from a developed country, and this was extremely low (0.006%). Conclusion In less and least developed countries, uterine rupture is more prevalent than in developed countries. In developed countries most uterine ruptures follow caesarean section. Future research on the prevalence of uterine rupture should differentiate between uterine rupture with and without previous caesarean section.Keywords
This publication has 47 references indexed in Scilit:
- Obstructed labourBritish Medical Bulletin, 2003
- Epidemiological features of uterine rupture in West Africa (MOMA Study)Paediatric and Perinatal Epidemiology, 2002
- Minimally invasive surgery for obstructed labour: a review of symphysiotomy during the twentieth century (including 5000 cases)BJOG: An International Journal of Obstetrics and Gynaecology, 2002
- Intrapartum uterine rupture and dehiscence in patients with prior lower uterine segment vertical and transverse incisions1Obstetrics & Gynecology, 1999
- Rupture of the uterus in labour: a review of 14 cases in a general hospitalJournal of Obstetrics and Gynaecology, 1998
- Improving emergency obstetric care at a state referral hospital, Kebbi State, NigeriaInternational Journal of Gynecology & Obstetrics, 1997
- Improving emergency obstetric care at a district hospital, Makeni, Sierra LeoneInternational Journal of Gynecology & Obstetrics, 1997
- The effect of a depressed economy on the utilisation of maternal health services: the Nigerian experience IIJournal of Obstetrics and Gynaecology, 1997
- Labor outcome of juvenile primiparae in a population with a high incidence of contracted pelvisInternational Journal of Gynecology & Obstetrics, 1989
- CONTRACTED PELVIS IN NIGERIABJOG: An International Journal of Obstetrics and Gynaecology, 1963