Spontaneous uterine rupture in a multiparous woman without uterus scar

Spontaneous uterine rupture during pregnancy is a life-threatening complication that predominantly occurs in the third trimester. A scar resulting from a prior cesarean section represents the primary risk factor for uterine rupture. It is one of the most severe complications in obstetrics, accompanied by bleeding, severe traumatic and hemorrhagic shock, and high perinatal mortality for both the fetus and the woman. Cases of uterine rupture without commonly accepted risk factors, regardless of parity or gestational age, have been described in the literature. Here, we present a clinical case of a complete uterine rupture occurred outside a medical facility at gestational age of 25 weeks in a multiparous woman with a complicated obstetric-gynecological history, lacking uterine scar. This was accompanied by severe hemorrhagic shock, cardiac arrest, and antenatal fetal demise. High-quality specialized care resulted in a favorable outcome for the mother.