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Ruptured Uterus pp 3–23Cite as

Rupture of the Uterus Scarred Due to Previous Caesarean Section

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Abstract

A 24-year-old primigravida married for 1 year was referred from a village in the second stage of labour with an intrauterine foetal demise to the emergency room. There was mild tachycardia. She was not anaemic. The blood pressure was normal. A midline vertical sub-umbilical scar on the abdomen was claimed to be for an ovariotomy done during adolescence. The patient was exhausted. There was secondary inertia of the uterus. Vaginal examination confirmed full dilatation with fully rotated vertex at +2 station. Forceps delivery was uneventfully performed to deliver a 2.8 kg dead baby. Massive postpartum haemorrhage followed the delivery. There was no trauma to the lower genital tract. Since the brisk bleeding very quickly started exsanguinating the patient, she was taken up for urgent laparotomy, only to realize there was transverse rupture of a previous hysterotomy scar (Fig. 2.1).

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  1. Obstetrics and Gynecology, JIPMER, Puducherry, India

    Gowri Dorairajan

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Dorairajan, G. (2017). Rupture of the Uterus Scarred Due to Previous Caesarean Section. In: Ruptured Uterus. Springer, Singapore. https://doi.org/10.1007/978-981-10-2852-6_2

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  • DOI: https://doi.org/10.1007/978-981-10-2852-6_2

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