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<p>Uterine rupture is a significant public health issue in low- and middle-income nations, such as Ethiopia. Although it is uncommon in Ethiopia, it causes severe health issues for both the mother and the child. It is still linked to poor, severe outcomes for both mothers and fetuses, despite efforts by the Ethiopian government and nongovernmental organizations to improve the country’s healthcare infrastructure. The study’s purpose was to determine the factors that lead to uterine rupture, with an emphasis on obstetric delays at Nekemte Specialized Hospital. An unmatched case-control study design was employed. The study was conducted among 470 women. A data collection tool containing available variables was designed to extract data from logbooks, client cards, and face-to-face interviews. Data were entered into EPI-Info-7 and exported to SPSS 27 for cleaning and analysis. The study participants were characterized using descriptive statistics. The associations between uterine rupture and independent variables were modelled using binary logistic regression analysis. The association between independent variables and uterine rupture was estimated using odds ratio with 95% confidence intervals. The statistical significance of the association was declared at P-value &lt; 0.05. In this study, the determinants of uterine rupture were being grand multiparous (AOR = 2.98; 95% CI: 1.31, 6.79) having a history of abortion (AOR = 3.27; 95% CI: 1.24, 8.63), having a history of cesarean section (AOR = 2.76; 95% CI: 1.26, 6.02), being referred (AOR = 2.45; 95% CI: 1.13, 5.43), having transportation problems (AOR = 5.83; 95%CI: 2.61, 13.03), and waiting more than 30&#xa0;min after arriving to receive the services (AOR = 17.30; 95% CI: 7.38, 40.57). Women who travelled more than 60&#xa0;min by foot to get the health posts had a 74% lower risk of experiencing uterine rupture (AOR = 0.26; 95%CI: 0.10, 0.64). The study highlights factors affecting uterine rupture risk, including delays, grand multiparity, abortion history, referral status, and transportation issues. It suggests a multifaceted approach, including shorter wait times, improved transportation, and enhanced prenatal care, especially for women with multiple births, abortions, or cesarean sections.</p>

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The three obstetrics delays determine uterine rupture at Nekemte specialized hospital: a hospital-based case-control study

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  • 发表日期：

    2026年2月23日

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  • Mitiku Getachew Kumara,
  • Gurmesa Tura Debelew,
  • Beyene Wondafrash Ademe

摘要

Uterine rupture is a significant public health issue in low- and middle-income nations, such as Ethiopia. Although it is uncommon in Ethiopia, it causes severe health issues for both the mother and the child. It is still linked to poor, severe outcomes for both mothers and fetuses, despite efforts by the Ethiopian government and nongovernmental organizations to improve the country’s healthcare infrastructure. The study’s purpose was to determine the factors that lead to uterine rupture, with an emphasis on obstetric delays at Nekemte Specialized Hospital. An unmatched case-control study design was employed. The study was conducted among 470 women. A data collection tool containing available variables was designed to extract data from logbooks, client cards, and face-to-face interviews. Data were entered into EPI-Info-7 and exported to SPSS 27 for cleaning and analysis. The study participants were characterized using descriptive statistics. The associations between uterine rupture and independent variables were modelled using binary logistic regression analysis. The association between independent variables and uterine rupture was estimated using odds ratio with 95% confidence intervals. The statistical significance of the association was declared at P-value < 0.05. In this study, the determinants of uterine rupture were being grand multiparous (AOR = 2.98; 95% CI: 1.31, 6.79) having a history of abortion (AOR = 3.27; 95% CI: 1.24, 8.63), having a history of cesarean section (AOR = 2.76; 95% CI: 1.26, 6.02), being referred (AOR = 2.45; 95% CI: 1.13, 5.43), having transportation problems (AOR = 5.83; 95%CI: 2.61, 13.03), and waiting more than 30 min after arriving to receive the services (AOR = 17.30; 95% CI: 7.38, 40.57). Women who travelled more than 60 min by foot to get the health posts had a 74% lower risk of experiencing uterine rupture (AOR = 0.26; 95%CI: 0.10, 0.64). The study highlights factors affecting uterine rupture risk, including delays, grand multiparity, abortion history, referral status, and transportation issues. It suggests a multifaceted approach, including shorter wait times, improved transportation, and enhanced prenatal care, especially for women with multiple births, abortions, or cesarean sections.