Spontaneous rupture of unscarred uterus at 27 weeks of gestation
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Spontaneous rupture of a gravid uterus is a life-threatening obstetric emergency with high maternal mortality and morbidity, perinatal mortality and loss of future fertility as hysterectomy maybe inevitable in most cases. Most spontaneous uterine ruptures occur during labor in parturients with a scarred uterus. Rupture of unscarred uterus is a rare event involving 1/17,000–20,0000 and occur more frequently in older multiparous patients [1, 2, 3]. Here, we present a case of spontaneous rupture of uterus in a primigravid woman which was successfully repaired.
A 32-year-old primigravid woman was admitted with abdominal pain that began 6 h earlier and premature uterine contractions at 27 weeks of gestation. She had no significant past medical history and any risk factor for uterine rupture.
The cervix was 1 cm dilated and 30% effaced. Non-stress test showed 140–150 bpm heart rate with no decelerations and a contracting uterus at a rate of...
KeywordsEndometriosis Uterine Contraction Spontaneous Rupture Uterine Rupture Primigravid Woman
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