{
    "abstract": "burst abdomen is a preventable complication of caesarean section that carries an increased risk of maternal death, especially in developing countries including Tanzania. The study aimed to identify the risk factors and high-risk patients for burst abdomen at Muhimbili National Hospital in Tanzania.\na case-control study was performed at Muhimbili National Hospital in Dar es Salaam from 2\na total of 524 women that met the inclusion criteria, comprising 131 cases and 393 controls, delivered by caesarean section in the most recent pregnancy at Muhimbili National Hospital. Cases were independently associated with perioperative illness, including cough (OR 3.8, 95%CI 1.9-7.6), chorioamnionitis (OR 4.5, 95% CI 1.3-14.7), and surgical site infection (OR 3.2, 95% CI 1.7-6.4), and a vertical midline incision wound (OR 1.9, 95% CI 1.2-3.1) compared to control group. Most cases (70%) had intact sutures and loose surgical knots.\nburst abdomen remains a cause of unnecessary severe maternal morbidity and is independently associated with perioperative illnesses such as cough, chorioamnionitis surgical site infection, and a vertical midline abdominal incision. Thus, there is a need for modifying abdominal fascia closure techniques for patients at risk.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynaecology, Muhimbili National Hospital, PO Box 65000, Dar es Salaam, Tanzania.\nDepartment of Women\u00b4s and Children\u00b4s Health/International Maternal and Reproductive Health and Migration, Uppsala University, Uppsala, Sweden.",
            "firstname": "Andrew Hans",
            "initials": "AH",
            "lastname": "Mgaya"
        },
        {
            "affiliation": "Department of Obstetrics and Gynaecology, Muhimbili National Hospital, PO Box 65000, Dar es Salaam, Tanzania.",
            "firstname": "Salim Alli",
            "initials": "SA",
            "lastname": "Maumba"
        },
        {
            "affiliation": "Department of Obstetrics and Gynaecology, Muhimbili National Hospital, PO Box 65000, Dar es Salaam, Tanzania.",
            "firstname": "Bosco Pius",
            "initials": "BP",
            "lastname": "Mapunda"
        },
        {
            "affiliation": "Department of Obstetrics and Gynaecology, Muhimbili National Hospital, PO Box 65000, Dar es Salaam, Tanzania.",
            "firstname": "Sophia Isaac",
            "initials": "SI",
            "lastname": "Kiwango"
        },
        {
            "affiliation": "Department of Obstetrics and Gynaecology, Muhimbili National Hospital, PO Box 65000, Dar es Salaam, Tanzania.",
            "firstname": "Raymond Thomas",
            "initials": "RT",
            "lastname": "Kiponza"
        },
        {
            "affiliation": "Department of Obstetrics and Gynaecology, Muhimbili National Hospital, PO Box 65000, Dar es Salaam, Tanzania.",
            "firstname": "Nathanael Luther",
            "initials": "NL",
            "lastname": "Mtinangi"
        }
    ],
    "conclusions": "burst abdomen remains a cause of unnecessary severe maternal morbidity and is independently associated with perioperative illnesses such as cough, chorioamnionitis surgical site infection, and a vertical midline abdominal incision. Thus, there is a need for modifying abdominal fascia closure techniques for patients at risk.",
    "copyrights": "Copyright: Andrew Hans Mgaya et al.",
    "doi": "10.11604/pamj.2024.48.64.39044",
    "journal": "The Pan African medical journal",
    "keywords": [
        "Burst abdomen",
        "abdominal fascia closure",
        "caesarean section",
        "surgical site infection",
        "wound dehiscence"
    ],
    "methods": null,
    "publication_date": "2024-10-02",
    "pubmed_id": "39355717\n29157889\n28267697\n33902549\n7573734\n21251425\n25728672\n25182865\n19898894\n20437354\n9194883\n12643854\n25217326\n34308233\n11419550\n25278649\n26520871\n30499099\n27893765\n21694802\n31286872\n19772612\n25126415\n30964909\n32566647\n25877657\n25103301\n29153249\n35802730\n10714638\n12390373\n26188742\n19285296\n28942543\n8242299\n19635152\n32505920\n28606111",
    "results": "a total of 524 women that met the inclusion criteria, comprising 131 cases and 393 controls, delivered by caesarean section in the most recent pregnancy at Muhimbili National Hospital. Cases were independently associated with perioperative illness, including cough (OR 3.8, 95%CI 1.9-7.6), chorioamnionitis (OR 4.5, 95% CI 1.3-14.7), and surgical site infection (OR 3.2, 95% CI 1.7-6.4), and a vertical midline incision wound (OR 1.9, 95% CI 1.2-3.1) compared to control group. Most cases (70%) had intact sutures and loose surgical knots.",
    "title": "Burst abdomen: a preventable risk of severe maternal morbidity in a developing country (a case-control study at a university teaching hospital in Tanzania).",
    "xml": "<Element 'PubmedArticle' at 0x788506150220>"
}