Case Report
Volume 10 Issue 8 - 2021
Uterine Rupture After Minor Falling Down Accident in a 3rd Trimester Pregnancy
Demisew Amenu Sori1 and Atsinagn Girma Borena2*
1Head, Department of Obstetrics and Gynecology, Consultant and Associate Professor, Urogynecology and Reconstructive Pelvic Surgeon, Jimma University, Ethiopia
2Final Year Resident of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Jimma University, Ethiopia
*Corresponding Author: Atsinagn Girma Borena, Final Year Resident of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Jimma University, Ethiopia.
Received: June 24, 2021; Published: July 20, 2021




Abstract

Background: Maternal Morbidity and Mortality has been a major WHO concern, Sub-Saharan Africa alone accounted for roughly two-thirds of maternal deaths. Uterine rupture is a fatal complication which occur during pregnancy resulting in Maternal Morbidity and Mortality. This paper reports uterine rupture in a lady who sustained blunt abdominal trauma secondary to minor falling down accident which resulted direct blow to her abdomen and managed at the Jimma Medical Center, Ethiopia.

Case Presentation: Mrs. RJ aged 30 years, Gravid 4 Para 3, Amenorric for 08 and half months. was admitted to Jimma Medical center in Ethiopia on April 08, 2021 at 5:45 with severe anemia of HCT 18.9%, BP = 90/60 mmHg, pulse 128 beats per minute. She has history of a blunt abdominal trauma after sustaining a falling down accident. She underwent a subtotal abdominal hysterectomy and blood transfusion. Her post-operative stay in hospital was uneventful.

Conclusion: Trauma is the leading non obstetric cause of death among pregnant women. Uterine rupture is a serious obstetric complication, with high morbidity and mortality. It can be eliminated under conditions of best obstetric practice and by counseling of pregnant ladies when to seek medical attention after sustaining falling down accident. The survival of patients after uterine rupture depends on the time interval between rupture and intervention, site of the uterine rupture and the availability of blood products for transfusion.

Keywords: Uterine Rupture; Trauma; Hysterectomy; Transfusion; Blood Products

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Citation: Demisew Amenu Sori and Atsinagn Girma Borena. “Uterine Rupture After Minor Falling Down Accident in a 3rd Trimester Pregnancy”. EC Gynaecology 10.8 (2021): 60-66.

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