DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20220200

A rare incidence of averting ‘maternal near-miss’ in a case of spontaneous uterine rupture in shock

Jayanta K. Biswas, Sanjaya K. Gupta

Abstract


Uterine rupture is a rare but catastrophic obstetric emergency associated with significant feto-maternal morbidity and mortality. There are various risk factors and wide spectrum of clinical presentations have been identified; previous cesarean delivery being most common risk factor. Spontaneous rupture of unscarred uterus is infrequently encountered, but very dangerous for both mother and fetus as remotely suspected. Usually, spontaneous rupture of primigravida uterus is considered almost immune as it is rare but not unheard of; it may occur before or after onset of labour, at term or preterm and with or without fetal heart rate abnormality. The reported case was such a case of spontaneous unscarred uterine rupture with favourable outcome for both mother and baby.


Keywords


Unscarred uterus, Spontaneous uterine rupture, Favourable pregnancy outcome

Full Text:

PDF

References


Hofmeyr GJ, Say L, Gülmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. BJOG. 2005;112(9):1221-8.

Gardeil F, Daly S, Turner MJ. Uterine rupture in pregnancy reviewed. Eur J Obstet Gynecol Reprod Biol. 1994;56(2):107-10.

Turner MJ. Uterine rupture. Best Pract Res Clin Obstet Gynaecol. 2002;16(1):69-79.

Dow M, Wax JR, Pinette MG, Blackstone J, Cartin A. Third-trimester uterine rupture without previous cesarean: a case series and review of the literature. Am J Perinatol. 2009;26(10):739-44.

Mazzone ME, Woolever J. Uterine rupture in a patient with an unscarred uterus: a case study. WMJ. 2006;105(2):64-6.

Miller DA, Goodwin TM, Gherman RB, Paul RH. Intrapartum rupture of the unscarred uterus. Obstet Gynecol. 1997;89(5):671-3.

Nahum GG, Pham KQ. Uterine rupture in pregnancy, 2018. Available at: https://reference.medscape.com/article/275854overview#showall. Accessed on 28 November 2021.

Leung AS, Leung EK, Paul RH. Uterine rupture after previous cesarean delivery: maternal and fetal consequences. Am J Obstet Gynecol. 1993;169(4):945-50.

Chuni N. Analysis of uterine rupture in a tertiary center in Eastern Nepal: lessons for obstetric care. J Obstet Gynaecol Res. 2006;32(6):574-9.

Kapoor DS, Sharma SD, Alfirevic Z. Management of unscarred ruptured uterus. J Perinat Med. 2003;31(4):337-9.