Ruptured Uterus

1 Introduction. 1
Reference. 2
2 Rupture of the Uterus Scarred Due to Previous
Caesarean Section. 3
2.1 Asymptomatic Rupture. 3
2.2 Scar Rupture During Labour. 4
2.2.1 Scar Rupture in the First Stage of Labour. 4
2.2.2 Scar Rupture in the Second Stage of Labour. 8
2.2.3 Scar Rupture Diagnosed Postpartum. 9
2.3 Rupture Early in Pregnancy in a Scarred Uterus. 12
2.4 Scar Ruptures Involving Urinary Bladder. 13
2.5 Interesting Cases from Literature and Discussion. 15
References. 20
3 Rupture of Apparently Unscarred Uterus. 25
3.1 Rupture in the Second Stage. 26
3.2 Rupture Misdiagnosed as Antepartum Haemorrhage
Due to Placenta Previa. 29
3.3 Rupture Due to Misdiagnosed Malpresentation. 32
3.4 Rupture Due to Trauma of Friable Lower Segment
During Caesarean Section. 33
3.5 Rupture of Unscarred Uterus from Literature. 34
References. 35
4 Rupture of the Uterus Weakened Due to Rare Causes. 37
4.1 Rupture Due to Previous Compression Sutures. 37
4.2 Rupture After Previous Manual Removal of Placenta. 38
4.3 Rupture of Uterus Weakened Due to Previous
Intrauterine Procedures. 40
References. 42
5 Rupture in a Primigravida. 43
5.1 Rupture Following Obstructed Labour. 43
5.2 Rupture of the Posterior Wall. 44
5.3 Iatrogenic Extraperitoneal Disruption of Uterine
Artery Due to Instrumental Delivery. 45
5.4 Rupture Following Induction of Labour. 46
5.5 Rupture Due to Uterine Malformations. 47
References. 49
6 Rupture of The Uterus Weakened by Myomectomy Scars. 51
6.1 Rupture Following Open Resection of Myoma. 51
6.2 Rupture Following Previous Laparoscopic Myomectomy. 52
6.3 Literature Review of Rupture After Myomectomy
and Discussion. 53
References. 54
7 Rupture Due to Gestational Trophoblastic Disease. 55
References. 57
8 Ruptured Uterus in Gynaecological Situations. 59
References. 62
9 Management and Complications. 63
References. 66