Tropical Doctor > Volume 37, Number 4 > Pp. 219-221

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Short Reports

Surgical management of ruptured gravid uterus in Bida, North Central Nigeria

S A Ojenuwah FWACS MBA (HHSA)     R O Olowosulu MBBS FWACS  

Department of Obstetrics & Gynaecology, Federal Medical Centre, PMB 14, Bida, Nigeria

Correspondence to: Dr S A Ojenuwah Ogafe1166{at}yahoo.co.uk

Thirty-eight consecutive unbooked patients with ruptured gravid uterus (RGU) were studied over a four-year period, 2001-2005, at Federal Medical Centre, Bida, Nigeria. The total number of deliveries during the period was 4644. Nineteen patients had subtotal hysterectomy, and 19 had repair of RGU±sterilization. All patients had either one form of postoperative complication or the other; many had multiple complications ranging from hypovolaemia, 38 (100%); wound infection, 21(56.3%); septicaemia, five (3.2%); prolonged hospital stay > 10 days, 24 (63.2%) and vesico-vaginal fistula, two(10.5%). Perinatal mortality was 38 (100%) while maternal mortality was five (13.2%). There were no statistically significant differences in morbidity and mortality indices in patients who had subtotal hysterectomy and repair of RGU.

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