Old uterine ruptures you need to know about

Abstract

Aim: To review rare cases of uterine rupture that a practitioner may encounter. Key points. Uterine rupture is still a currently relevant issue. Despite the long history of its study and the gradual decrease in the incidence of such cases, uterine rupture remains one of the most severe manifestations of obstetric trauma. In most cases, without timely assistance, a patient with uterine rupture dies. However, there are situations that, seemingly, can be attributed to casuistry, but personal experience as an obstetrician-gynecologist in the 80-s of the last century in one of the African countries and communication with colleagues who had similar cases in their practice suggest the opposite. The article presents four clinical observations, when women lived for a long time with uterine rupture. Conclusion. When analyzing the clinical signs of uterine rupture which occurred during childbirth, attention should be paid to such a pathognomonic sign as termination of labor activity. This symptom has no other explanation than complete uterine rupture, and should be taken into account when monitoring women in labor, even if the pain syndrome is not pronounced, and hemorrhagic shock has not occurred. Keywords: uterine rupture, clinical signs, diagnosis.