Two case reports of uterine rupture following trial of labor for vaginal birth after cesarean delivery

Document Type : Case report

Author

Instructor of Midwifery, Pregnancy Health Research Center, School of Nursing an Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran

Abstract

Introduction: Trial of labor with aim for vaginal birth after previous cesarean delivery may be preferred by some women. Uterine rupture is the most common recognized complication of trial of labor. This report introduces two cases of uterine rupture in two women during a trial of labor after cesarean delivery.
Case report: case 1: A 25 year old women G5P4 was admitted with complains of sudden abdominal pain and vaginal bleeding. Because of not hearing the fetal heart rate and suspicious to uterine rupture, laparotomy was performed for the patient. Rupture of the previous incisions was observed and fetus was exited from the uterus. The baby was born dead and uterine rupture was repaired.
Case2: A 19 year old women G3P2 was admitted with complains of labor pain and brief bloody vaginal discharge.  Because of fetal bradycardia to 60 bpm and elevated station of the fetus's head in birth canal, uterine rupture was suspected. Rupture of the previous incisions was observed. A male infant was delivered with first minute Apgar scores 4 and uterine rupture was repaired.
Conclusion: Uterine rupture is the outcome associated with a trial of labor which accompanies the increased maternal and neonatal morbidity. These women should be evaluated in equipped centers immediately after starting of labor symptoms in order to minimize adverse maternal and perinatal outcomes if uterine rupture occurred.

Keywords

References

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