IMR Press / CEOG / Volume 43 / Issue 4 / DOI: 10.12891/ceog3145.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Uterine rupture during labor in women with twice successful vaginal births after cesarean delivery
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1 Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul (Republic of Korea)
Clin. Exp. Obstet. Gynecol. 2016, 43(4), 621–623; https://doi.org/10.12891/ceog3145.2016
Published: 10 August 2016
Abstract

Uterine rupture during labor is a serious complication resulting in maternal and neonatal morbidity and mortality. We present the extremely rare case of a 38-year-old gravid woman admitted with labor pain at term, about to experience a uterine rupture during labor. She had previously twice delivered vaginally, and during her third pregnancy had a low transverse Cesarean section. Prior to arriving at the hospital with labor pains, she had routine prenatal care with normal prenatal laboratory tests. One day the woman reported to having sudden epigastric pain, and 40 minutes after her admission a pelvic exam was completed. The unborn baby had a persistent fetal bradycardia of 60 beats/min and after 14 minutes, an emergency Cesarean section was performed. A complete uterine rupture was revealed, and a live neonate was promptly delivered with an Apgar score of 1 at one minute and 5 at five minutes. On the fifth postoperative day the woman and her baby were discharged home with no maternal and neonatal complications.
Keywords
Uterine rupture
Labor
Vaginal birth after cesarean section (VBAC)
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