Rupture of the Unscarred Gravid Uterus: Case Series

Abstract

Rupture of the unscarred uterus is estimated to occur in approximately 0.8 in 10,000 deliveries. It is a potentially catastrophic event for both mother and fetus. We present two such cases and review the relevant literature. The first case concerns a multiparous patient who attended due to reduced fetal movements and subsequently incurred fetal demise, sepsis and significant hemorrhage. The second case concerns a patient in her second delivery who developed uterine rupture after a prolonged second stage of labor. We recommend that clinicians maintain a high index of suspicion for uterine rupture even in the absence of prior cesarean delivery. J Med Cases. 2015;6(7):330-332 doi: http://dx.doi.org/10.14740/jmc2203w