Uterine ruptures with their deplorable sequelae constitute a major obstetrical problem in the rural areas of Africa. The maternal and perinatal mortality remain high as a result, mainly due to the lack of early and adequate care for these patients. Grandemultiparity is one of the major predisposing factors. Prevention must necessarily include the availability of family planning advice, improved organization of and access to maternal care, and good supervision during delivery and the post-partum period. The general improvement of the overall socio-economic condition is a pre-condition to the improvement of access to care.
Get full access to this article
View all access options for this article.
References
1.
BarnaudPHCazenavaJCBertramP. Les ruptures utérines obstétricales en milieu tropical. Soins Pathol Trop1984;47:21–4.
2.
BarnaudPHVeillardJM. Traitement chirurgical de la rupture utérine (Obstétrique-Gynécologie). In Techniques chirurgicales. 2nd ednMarseille: Agrégés du Pharo, Diffusion Générale de Librairie1981:251–3.
3.
LawsonJB. Sequelae of obstructed labour. In: Obstetrics and gynaecology in the Tropics and developing countries. London: Edward Arnold1970:203–10.
4.
Lusanga-NkweyTozinRTandu-UmbaYanga-Kidiamene. Evolution des ruptures utérines dans les Cliniques Universitaires de Kinshasa. J Gyn Obst Biol Repr1983;12:755–61.
5.
NasahBTDrouinP. Review of 70 cases of ruptured uterus in Cameroun. Trop Doct1978;8(3):127–31.
6.
HeijHATe VeldeERCairnsM. Management of rupture of the gravid uterus. Trop Doct1985;15(3):127–31.
7.
DodsonMG. In: AladjemS, ed. Bleeding in pregnancy in obstetrical practice. St Louis: CV Mosby Co.1980: 451–72.
8.
DonaldI. Maternal injuries in practice obstetric problems. 3rd edn. Chicago: Year Book Medical Publishers, 1966:600–28.
9.
HibbardLT. Complications of labour and delivery in current obstetric and gynaecologic diagnosis and treatment. 5th edn. Los Altos: Large Medical Publication, 1984:737–62.
10.
ShreveRWRussoJN. Rupture of the uterus. In: SciarraJJ, ed. Gynaecology and obstetrics, Chapt 80, Vol 2. Philadelphia: Harper and Row1983:1–10.
11.
CazenaveJCBarnaudPH. Dépistage des grossesses à risque outre-mer. Soins Patho Trop1984;47:3–7.
12.
GallowayP. SANRU/CONF.ANN.83/Dc. 10.3 Séminaire de recyclage organisé par SANRU pour la formation des accoucheuses traditionnelles. In: Accoucheuses traditionnelles. Leur rôle en soins de Santé Primaires. Kasai, Zaire, 1989.
13.
LambillonJBeckiusCRombartRAlexanderJ. Mortalité maternelle et rupture utérine. Ann Soc Belg Méd Trop1959;39:417–23.
14.
VavdinFMunyemanaSSebazunguPClerget-GurnaudJM. Les ruptures utérines au Rwanda (A propos de 87 cas). Méd Trop1983;43(1):37–43.
