Uterine Rupture and Associated Factors During Labor Amongst Women Delivered in Saudi Hajjah Hospital in Hajjah City North West Yemen

Background: Uterine rupture lead to elevated maternal and neonatal mortality in a lot of rural places in the world, while in Yemen in both rural and urban places. This study was conducted aiming to determine the prevalence and risk factors of uterine rupture in women who delivered in Saudi Hospital in Hajjah city, Yemen.

Material and Methods: Service based cross sectional study was done. The data were obtained by filling standard questionnaire from 111 uterine rupture cases and 111 non-uterine rupture comparative controls.

Results: The 2-year period of record review in the obstetrics ward shows 3,457 deliveries were conducted 111 of them had uterine rupture (incidence: 1:31). The mean maternal age of females had uterine rupture was 26 years with SD 7.4 years. For risk factors of uterine rupture, there was a highly significant association between uterine rupture occurrence and parity (>5) (OR=3.4, pv< 0.001), illiteracy of females (OR=14.2, pv< 0.001), residence far from hospitals (OR= 2.6 times, pv< 0.001), poverty (OR= 29.2, pv< 0.001), attending ANC for less than 2 visits during pregnancy (OR=29.2, pv< 0.001), using uterotonic drugs to induce or augment labor (OR=4.3, pv = 0.01), home as initial place of deliveries (OR=6.8, pv< 0.001).

Conclusion: Uterine rupture is one of the major causes of maternal morbidity and mortality in our Hospital in Hajjah. The hospital should develop strong collaborative and integration methods with catchment of healthy facility and educative campaign to decrease prevalence of uterine rupture and its impact in the surrounding Hajjah governorate.

Keywords: Uterine rupture, Risk factors, Hajjah, Yemen