Traumatic Uterine and Bladder Rupture due to Instrumental Vaginal Delivery by Vacuum: A Case Report

Abstract

Uterine rupture is a very rare but critical obstetrical complication that requires prompt diagnosis and treatment. It is a major complication of instrumental delivery due to lack of skilled personnel and inadequate monitoring in the intrapartum period of delivery. Here, authors present a case report of a 30-year-old woman, who presented to the hospital with complaints of acute abdominal pain, per vaginal bleeding and leakage of urine following vacuum assisted vaginal delivery. This led to traumatic postpartum haemorrhage that required further surgical evaluation and management. Retrospective analysis of such cases give us an idea of the problems that still exist with instrumental deliveries and the importance of labour surveillance during the 2nd stage of labour. Traumatic uterine and bladder rupture following vacuum delivery is a preventable cause of postpartum haemorrhage. Timely recognition of the condition can reduce the maternal morbidity and mortality.

Keywords

• assisted delivery
• macrosomia
• obstructed labour
• postpartum haemorrhage
• uterine trauma
• ventouse delivery