Posterior Uterine Wall Rupture during Labour in Primigravida - A Rare Case Report
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 8
Abstract
Introduction: Uterine rupture is an obstetrics emergency having major maternal and fetal morbidity and mortality. Case report: Here we report a rare case of rupture of posterior wall of uterus especially in primigravida. An unbooked case of 32 years old primigravida with 9 months of gestation without any high risk factors, presented with lower abdominal pain at tertiary centre of Jharkhand. On evaluation, we found uterine rupture in posterior wall of uterus extending from fundus to the left lateral wall of the uterus during labour. Hysterectomy and tube ligation were planned but patient and family members refused to give consent for that. Afterwards, uterine repair was done and patient was strictly advised not to plan next pregnancy and follow contraceptive advices. Conclusion: Uterine rupture in primigravida can occur with devastating consequences and low socioeconomic status with poor antenatal care may be an independent risk factor.
Authors and Affiliations
Archana Bharti, Poonam Singh, Neelam Nalini
Keywords
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