Abauleth Y R, Koffi A K, Cisse M L, Boni S, Djanhan Y, Janky E
Service de Gynécologie et d'Obstétrique, CHU de Cocody, Abidjan.
Med Trop (Mars). 2006 Oct;66(5):472-6.
The purpose of this retrospective comparative study carried out between January 1, 1996 and December 31, 2001 was to determine the incidence of uterine rupture in the maternity ward of the Bouake University Hospital Center and evaluate prognosis for the mother and child in function of transportation distance to the Center. Patients were divided into two groups, i.e., patients transported from an arbitrarily defined safety zone within a 100-kilometer radius of the city and patients from outlying areas beyond the safety zone. The overall incidence of uterine rupture was 2.44%, i.e., one of 41 deliveries. Hysterectomy was performed more often in women from outlying areas: 83.34 % versus 28.57% (p = 0.0000). Mortality secondary to uterine rupture was 411.26% overall with a higher rate in patients from outlying areas than patients from the safety zone: 29.91% versus 8.97% respectively (p = 0.0052). Fetal mortality was 100% for patients from outlying areas. The prognosis of uterine rupture is less favorable for both the mother and child in patients transported from outlying areas.
这项回顾性比较研究于1996年1月1日至2001年12月31日开展，目的是确定布瓦凯大学医院中心产科病房子宫破裂的发生率，并根据产妇到该中心的交通距离评估母婴预后。患者被分为两组，即从城市半径100公里范围内任意划定的安全区送来的患者和来自安全区以外偏远地区的患者。子宫破裂的总体发生率为2.44%，即41次分娩中有1例发生子宫破裂。来自偏远地区的女性接受子宫切除术的比例更高：分别为83.34%和28.57%（p = 0.0000）。子宫破裂继发的总体死亡率为411.26%，偏远地区患者的死亡率高于安全区患者：分别为29.91%和8.97%（p = 0.0052）。偏远地区患者的胎儿死亡率为100%。对于从偏远地区送来的患者，子宫破裂对母婴的预后都更不利。
