Early Labor Posterior Uterine Wall Rupture in a Primigravid Mother with Successful Repair and Live Birth: A Case Report

Abstract

Adane Sisay,1 Abel Teshome,2 Esayas Regasa,1 Melkamu Siferih3 1Department of Obstetrics and Gynecology, School of Medicine, Arsi University, Assela, Ethiopia; 2Department of Obstetrics and Gynecology, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia; 3Department of Obstetrics and Gynecology, School of Medicine, Debre Markos University, Debremarkos, EthiopiaCorrespondence: Adane Sisay, Email [email protected]: Posterior uterine wall rupture is extremely uncommon in the absence of any of the commonly recognized risk factors. Even though uterine rupture is more likely in multiparous people, it cannot be believed that the uterus of a primigravid is impervious to rupture. The objective of this case report is to alert obstetricians about atypical posterior uterine wall rupture presentation in the absence of identifiable risk factors and to emphasize the worth of prompt action.Case Presentation: A 22-year-old primigravid mother with a 12 cm vertical posterior uterine wall rupture of an unscarred uterus at St. Paul’s Hospital in Ethiopia was reported to have survived an intrapartum uterine rupture during the latent early stage of labor while taking a low dose of oxytocin. The baby was saved from the abdominal cavity after an emergency laparotomy was performed. Complete hemostasis was achieved when the posterior uterine wall rupture was repaired in two layers. The patient and her baby were discharged on the fifth postoperative day smoothly.Conclusion: Posterior uterine wall rupture in a primigravid mother with an unscarred uterus is extremely rare, but a high index of suspicion should be kept in mind as expedited intervention is the only way to save the mother and fetus.Keywords: early labor, posterior uterine wall rupture, repair, unscarred uterus, Ethiopia

Keywords

• early labor
• posterior uterine wall rupture
• repair
• unscarred uterus
• ethiopia