Authors: Astrit M. Gashi
Abstract
Continued increase in births by caesarean section has influenced the increased occurrence of uterine rupture in many countries of the world. The aim of this study is to determine the association between births by caesarean section and uterine rupture. It was a cross-sectional study. The research data was collected and recorded in writing (as per birth protocol) in clinic of Obstetrics and Gynaecology, University Clinical Centre of Kosovo. Data for uterine rupture was collected over the study period of five years (from 2010 to 2014), only in women who gave birth by caesarean section. The cases with uterine rupture were recorded over these years, followed by statistical calculations. Of total 15526 women who underwent caesarean section over the study period of five years (from 2010 to 2014), there were 22 cases of uterine rupture thus, with an incidence of 14 per 10,000 deliveries with Caesarean Section and significance level for observed proportion was P<0.0001 (95% confidence interval CI; 21.35 to 22.66). Continuous increase in uterine rupture was noticed from 2010 to 2014. Percentage of uterine rupture of 2010 was 0.07%, when compared with that of 2014 i.e., 0.17 %, which is a significant difference (in favor of the increase), odds ratio OR=0.82 (95%Cl; 0.016 to 41.70).
Keywords
Caesarean Section; Uterine rupture
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Association between Births by Caesarean Section and Uterine Rupture