Intrapartum posterior uterine wall rupture in lower segment cesarean section scarred uterus

Abstract

Intrapartum uterine rupture is a well-documented complication of labor that fortunately is a rare event. The majority of these cases arise in women with scarred uteri secondary to some event such as previous cesarean section myomectomy deep cornual resection metroplasty tubo-cornual anastomosis iatrogenic or traumatic uterine rupture. Vaginal birth after cesarean (VBAC) is now a safe and well-accepted procedure of conduct in women with one previous lower segment cesarean section (LSCS). Uterine rupture in such women commonly involves the anteriorly placed scar. Posterior rupture in women in whom VBAC was attempted has also been reported although only twice in the literature. Here we report a similar case of posterior uterine rupture in a woman in labor with a previous LSCS to add further data to this rare and isolated complication. (excerpt)