- •Uterine rupture is an uncommon complication of pregnancy associated with potentially catastrophic consequences for both mother and baby.
- •Previous uterine surgery is the most common underlying cause; however, multiparous women without uterine scarring are also at risk if labour becomes obstructed.
- •A review of CEMACH reports has shown a consistent decrease in maternal mortality secondary to uterine rupture despite increasing caesarean section rates.
- •The risk of uterine rupture during attempted vaginal birth after caesarean section is widely recognised; however, there needs to be greater awareness of this emergency occurring in multiparous women undergoing induction/augmentation of labour.
- •To define uterine rupture.
- •To examine the causes and risk factors for antepartum and intrapartum uterine rupture.
- •To review the signs and symptoms.
- •To revise the management of uterine rupture.
- •To increase awareness of this very serious complication and to suggest how clinicians can make a case-based individual assessment of uterine rupture risk.
- •Are those women at risk of uterine rupture adequately counselled about the possibility and potential consequences?
Please cite this article as: Manoharan M, Wuntakal R, Erskine K. Uterine rupture: a revisit The Obstetrician & Gynaecologist 2010;12:223–230.