Introduction: Uterine rupture is any tear of continuity of the gravid uterus, extending over one or all parts of the uterus. Objective improve the management of uterine rupture at the Chad-China Friendship Hospital. Patients and Method: This was a descriptive study with retrospective data collection over a 2-year period from 01 January 2022 to 31 December 2023 in the Obstetrics and Gynaecology Department of the Chad-China Friendship Hospital. The study population consisted of patients admitted for uterine rupture. All uterine ruptures occurring during the study period were included in this study. Data were collected on a survey form completed from medical records, the delivery register, the operative report register, and the maternal and neonatal death register. The variables studied were epidemiological, clinical, therapeutic and prognostic. Data were entered using Microsoft Word and Excel and analysed using Sphinx software. Results: A total of 39 cases of uterine rupture were recorded out of 14,023 deliveries, representing a frequency of 0.27%. The profile was that of young patients (51.2%) with an average age of 28.08 ± 6.1 years, ranging from 18 to 43 years, multiparous (35.8%), self-employed (66.6%), living mainly in urban areas (82.5%), uneducated (89.7%), all married (100%) and housewives (94.9%). The reasons for admission were dominated by lumbopelvic pain associated with bleeding (66.6%), which occurred spontaneously in the majority of cases in full-term pregnancies (92.3%) not followed up (74.4%), the aetiology of which was dominated by prolonged labour associated with excessive use of uterotonics (61.5%). Conservative surgery was performed in 89.7% of cases. We recorded 94.9% perinatal deaths and 5.1% of maternal deaths. Conclusion: Uterine rupture is a surgical emergency whose evolution and maternal-fetal prognosis depend on the speed with which it is managed.
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