Different Presentations of Scar Rupture in Labour - A Case Report

Abstract Background: Uterine rupture is a rare event. Most cases of rupture happen in scarred uterus while in labour and can cause catastrophic outcome for mother and baby. Case report : A case of a woman, 38 weeks gestation who had a previous caesarean delivery keen to have vaginal birth this time, had regular antenatal care and then had induction of labour. During labour she did not have typical symptoms or signs of scar rupture except cardiotocographic changes (CTG) needing emergency caesarean delivery. The second case is of a lady at 36 weeks gestation presenting with abdominal pain with 2 previous caesarean sections and no typical symptoms or signs of it except continuous abdominal pain and needing a caesarean delivery and finding of scar rupture intraoperatively. Conclusion: Uterine rupture can occur in any woman scared or unscarred uterus, however heightened clinical awareness is essential for women with a history of uterine scarring, particularly during labour where it may sometimes be asymptomatic. With increasing cesarean section rates and many woman opting for vaginal birth after caesarean section (VBAC). Hence careful selection of cases for trial of scar and counseling should take place in antenatal period and then planning for induction of labour and augmentation in labour. KEYWORDS : Uterine rupture ,VBAC,CTG