Outcomes of a Series of Sudanese Patients with Uterine Rupture

Abstract

Purpose: Uterine rupture during pregnancy is rare, often fatal, and can cause serious complications for both mother and fetus. Therefore, this study evaluated the outcomes of a group of Sudanese patients who experienced uterine rupture. Materials and Methods: This study comprised a group of 26 female individuals who had a uterine rupture and received medical care at the maternity department of El-Obeid Teaching Hospital in Sudan's North Kordofan state. The patients were admitted over the course of one year. We obtained the requisite identifying data and demographic characteristics from every subject. Findings: The majority of cases have normal hospital stays (65%). About 35% of patients have prolonged hospital stays. The most common postoperative complication experienced was venous thromboembolism (VTE) (31%). Most patients presented with labor pain followed by vaginal bleeding and abdominal pain, constituting (57.7%), (27%), and (11.5%), in that order. Implications to Theory, Practice and Policy: Sudan experiences a high prevalence of uterine rupture, which leads to quite high rates of adverse outcomes during childbirth, despite having relatively low rates of premature death. The most unfavorable outcomes are extended hospitalization, venous thromboembolism (VTE), and the need for blood transfusion. Careful follow-up during pregnancy and choosing the appropriate delivery mode is important.