Decrease in uterine rupture in Conakry, Guinea by improvements in transfer management.

Abstract

Lack of an effective transfer system remains a major risk factor for uterine rupture, especially in developing countries. The implementation of a program of consultation, feedback and integration between peripheral delivery units and two hospitals resulted in a decrease in the incidence of uterine rupture from 0.20% to 0.12% and of maternal mortality after uterine rupture from 28% to 21%, respectively, after 6 months.