Spontaneous Rupture of the Anterior Vaginal Wall during the First Stage of LabourReport as inadecuate

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Case Reports in Obstetrics and GynecologyVolume 2012 2012, Article ID 786753, 2 pages

Case Report

Department of Obstetrics and Gynaecology, Hornsby Ku-ring-gai Hospital, Palmerston Road, Hornsby, NSW 2077, Australia

Department of Obstetrics and Gynaecology, Canberra Hospital, Yamba Drive, Garran, ACT 2605, Australia

Received 26 February 2012; Accepted 12 April 2012

Academic Editors: I. Hoesli, A. Ohkuchi, and Y. Purwosunu

Copyright © 2012 Meleesa Joy Schultz and Triveni Nanda. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.

Author: Meleesa Joy Schultz and Triveni Nanda

Source: https://www.hindawi.com/


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