Uterine Rupture Following One Successful Vaginal Birth After Caesarean Section: A Case Report

Objectives: To determine the frequency of uterine rupture after one successful vaginal birth after caesarean section. Study Design: Cross Sectional Study. Setting: Department of Obstetrics and Gynecology of Nishtar Hospital Multan. Period: From12-May-2017 to 11-May-2018. Material & Methods: Total number of 135 patients of 16-45 years with singleton pregnancies were admitted for 2nd Vagina Birth after cesarean Section at gestational age ≥ 28 weeks of gestation. Data in shape of parity, gestational age and BMI was taken. These patients were assessed for frequency of uterine rupture after one successful vaginal birth after caesarean section. Data was analyzed with statistical analysis program (SPSS version 21). Frequency and percentage was calculated for qualitative variables like parity and uterine rupture. Mean ± SD was calculated for quantitative variables like age, BMI and gestational age. Results: Mean age of patients was 29.88+5.34 years. Mean body mass index (BMI) of study patients was 25.17+4.88 kg/m2. Mean gestational age at the time of delivery was 39.01+2.54 weeks. Uterine rupture after vaginal birth occurred in 2 (1.48%) patients. There was no association of gestational age, parity and gestational age with the frequency of uterine rupture. Conclusion: Women with prior successful VBAC are at low risk of maternal and neonatal complications during subsequent trail of VBAC with lower risk of uterine rupture and perinatal complications.

Download Full-text

Laparoscopic repair of uterine rupture following successful second vaginal birth after caesarean delivery: A case report

World Journal of Clinical Cases ◽

10.12998/wjcc.v8.i13.2855 ◽

2020 ◽

Vol 8 (13) ◽

pp. 2855-2861

Author(s):

Yan-Qing Cai ◽

Wei Liu ◽

Hong Zhang ◽

Xiao-Qing He ◽

Jian Zhang

Keyword(s):

Case Report ◽

Laparoscopic Repair ◽

Uterine Rupture ◽

Caesarean Delivery ◽

Vaginal Birth ◽

Vaginal Birth After Caesarean

Download Full-text

Posterior Uterine Rupture Causing Fetal Expulsion into the Abdominal Cavity: A Rare Case of Neonatal Survival

Case Reports in Obstetrics and Gynecology ◽

10.1155/2011/426127 ◽

2011 ◽

Vol 2011 ◽

pp. 1-3 ◽

Cited By ~ 4

Author(s):

K. Navaratnam ◽

P. Ulaganathan ◽

M. A. Akhtar ◽

S. D. Sharma ◽

M. G. Davies

Keyword(s):

Caesarean Section ◽

Uterine Rupture ◽

Abdominal Cavity ◽

Fetal Outcome ◽

Emergency Caesarean Section ◽

Vaginal Birth ◽

Lower Segment ◽

Healthy Baby ◽

Case Presentation ◽

Vaginal Birth After Caesarean

Introduction. Uterine rupture is a potentially catastrophic complication of vaginal birth after caesarean section. We describe the sixth case of posterior uterine rupture, with intact lower segment scar, and the first neonatal survival after expulsion into the abdominal cavity with posterior rupture.Case Presentation. A multiparous woman underwent prostaglandin induction of labour for postmaturity, after one previous caesarean section. Emergency caesarean section for bradycardia revealed a complete posterior uterine rupture, with fetal and placental expulsion. Upon delivery, the baby required inflation breaths only. The patient required a subtotal hysterectomy but returned home on day 5 postnatally with her healthy baby.Discussion. Vaginal birth after caesarean section constitutes a trial of labour, and the obstetrician must be reactive to labour events. Posterior uterine rupture is extremely rare and may occur without conventional signs. Good maternal and fetal outcome is possible with a prompt, coordinated team response.

Download Full-text