%0 Journal Article
%T Prevalence and Factors Associated with Maternal Mortality during Uterine Rupture in the Gynecology-Obstetrics Department of Bouake University Hospital
%A Samak&#233
%A Yaya
%A Djanhan Lydie Estelle
%A Akanji Iburaima Alamun
%A M&#233
%A nin-Messou Benie Michele
%A M&#8217
%A bro Clausen Georgie
%A Kouadio Kouadio Narcisse
%A Boko Dagoun Dagbesse Elysee
%A Camara Sokhona
%A Edi All&#233
%A Anabelle
%A Yoboua Alimanta Raissa Opportune
%A Coumar&#233
%A Sounkalo
%A Doumbia Yacouba
%J Open Journal of Obstetrics and Gynecology
%P 44-54
%@ 2160-8806
%D 2025
%I Scientific Research Publishing
%R 10.4236/ojog.2025.151005
%X <b>Introduction:</b> Uterine rupture is certainly one of the most serious, as it immediately jeopardises the vital prognosis of the mother and foetus. It is a common obstetric tragedy in our delivery rooms in countries with limited resources, reflecting the poor quality of obstetric care and, consequently, an unmet obstetric need. <b>Methods:</b> This was a descriptive and analytical cross-sectional study with prospective data collection over a four-year period from 1 January 2020 to 31 December 2023 at the University Hospital Centre (CHU) of Bouak&#233;, in the Obstetrics and Gynaecology Department. The variables studied were epidemiological characteristics, therapeutic aspects and factors associated with maternal.<b> Results:</b> The prevalence of uterine rupture was 0.63%. The average age was 32, with patients aged 35 and over accounting for 33.68%, married 44.21% and 70% not in education. Patients with uterine rupture had been evacuated in 85.26% of cases. Uterine rupture was diagnosed in 97.89% of cases during labour. Maternal lethality due to rupture was 15.79%. The causes of maternal death were dominated by haemorrhagic shock (53.33%). Factors statistically associated with death were age &#8805; 35 years (OR: 3.14), duration of labour &#8805; 12 hours (OR: 5.8), multiparity (OR: 19.04), admission delay beyond 2 hours (OR: 4.36), haemoglobin level &#8804; 7 g/dl (OR: 36.84), coma or obnubilation (OR: 71.82), haemorrhagic shock (OR: 243.94) and occurrence of post-operative complications (OR: 76.45). <b>Conclusion:</b> The frequency of uterine rupture remains significant in the department (0.63%), with maternal mortality still high (15.79%). The key to reducing uterine rupture and its consequences lies in timely referral and early, appropriate management.
%K Factors Associated
%K Uterine Rupture
%K Maternal Mortality
%K Prevalence
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=138787