Background: Uterine rupture is an emergency and catastrophic obstetric complication associated with high maternal mortality and morbidity, especially in developing countries. Uterine rupture is also associated with a high incidence of perinatal mortality 11.2% and morbidity worldwide. Others reported higher perinatal mortality rates, ranging from 25.5% - 85.4%, and maternal mortality rates, ranging from 3.3% - 9.8%. The most common predisposing factor for uterine rupture is previous uterine surgery, and most cases involve women with a previous caesarean delivery.

Objectives: To study the predisposing factors and maternal outcomes of rupture uteri among pregnant women attending Bashair Teaching Hospital, Khartoum, Sudan, from June 2021 to June 2022.

Methodology: This descriptive, cross-sectional hospital-based study was conducted at Bashair Teaching Hospital, Khartoum, Sudan, from June 2021–June 2022. The study involved 36 uterine rupture patients, and data were collected via a predesigned, formal standardized (quantitative) questionnaire and analysed via SPSS 25.

Results: A total of 36 pregnant women with uterine rupture were included in this study. The mean age was 33± 9 years. More than half of them (55%) were aged 36--45 years, and the most common predisposing factor was previous caesarean section (47%), followed by obstructed labour and the induction of labour (20.3%). The most common complication was bleeding (42.9%), followed by bladder injury (20.6%), pulmonary oedema (15.9%), bowel injury (12.7%), and wound infection (7.9%).

Conclusion: Caesarean section constituted the majority of the cases. The induction of labour and obstructed labour represented a respectful percentage of the leading predisposing factors of uterine rupture. Caesarean section rates are increasing, and uterine rupture is expected to rise in tandem. There is an urgent need for antenatal care and skilled labour, which should be emphasized through health education.