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Case Reports
. 2012:2012:786753.
doi: 10.1155/2012/786753. Epub 2012 Jun 3.

Spontaneous Rupture of the Anterior Vaginal Wall during the First Stage of Labour

Meleesa Joy Schultz  1 , Triveni Nanda
Affiliations
Case Reports

Spontaneous Rupture of the Anterior Vaginal Wall during the First Stage of Labour

Meleesa Joy Schultz et al. Case Rep Obstet Gynecol. 2012.

Abstract

The risk of uterine rupture during attempted trial of labor after caesarean delivery (TOLAC) is well documented. However, vaginal rupture (in the absence of obstructed labour) is exceptionally uncommon. Below is described the rare case of a 37-year-old multiparous woman attempting TOLAC, who suffered a vaginal-rather than uterine-rupture, during the first stage of spontaneous labour. This case is an important reminder to obstetricians that concealed ruptures of both the vagina and uterus do occur and must be considered in clinical situations where another explanation is not apparent.

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Figure 1
Figure 1
Anterior view of the patient's uterus, showing the vaginal rupture and exposed cervix.
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References

    1. Hofmeyr GJ, Say L, Gülmezoglu AM. WHO systematic review of maternal mortality and morbidity: the prevalence of uterine rupture. An International Journal of Obstetrics and Gynaecology. 2005;112(9):1221–1228. - PubMed
    1. Allen AM, Lakin T, Shobeiri SA, Nihira M. Transmural vaginal-to-bladder injury from an obstructed labor pattern. Obstetrics and Gynecology. 2011;117(2) part 2:468–470. - PubMed
    1. Young B, Takoudes T, Lim KH, Rana S. Rupture of the posterior cul-de-sac during spontaneous labor. Obstetrics and Gynecology. 2010;115(2) part 2:414–417. - PubMed
    1. Spaulding LB. Delivery through the maternal bladder during trial of labor. Obstetrics and Gynecology. 1992;80(3) part 2:512–514. - PubMed
    1. Mauldin JG, Newman RB. Prior cesarean: a contraindication to labor induction? Clinical Obstetrics and Gynecology. 2006;49(3):684–697. - PubMed

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