4th stage transvaginal omental herniation during VBAC complicated by shoulder dystocia: a unique presentation of uterine rupture.

Abstract:

BACKGROUND:Uterine rupture is a common complication in women attempting their first virginal birth after caesarean section (VBAC) but the risk diminishes with subsequent VBACs. It occurs in rates of 0.5-9% and is influenced by various factors. CASE PRESENTATION:A unique case of uterine rupture in a Kenyan woman of African descent during a repeat VBAC complicated by shoulder dystocia was discovered during the 4th stage of labour when omentum was noted protruding through the vagina. She had delivered 4 years earlier by caesarean section. CONCLUSION:It is not common to experience uterine rupture among women attempting repeat VBAC. When it occurs, it may not always follow the known pattern intra-partum and is often associated with poor foetal outcome.

authors

Mwenda AS

doi

10.1186/1471-2393-13-76

subject

Has Abstract

pub_date

2013-03-23 00:00:00

pages

76

issn

1471-2393

pii

1471-2393-13-76

journal_volume

13

pub_type

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