Uterine rupture in a patient with an unscarred uterus: a case study.

Uterine rupture is a true obstetrical emergency. We present a case of a multigravid woman who had a spontaneous uterine rupture after induction with misoprostol and oxytocin, followed by a general discussion of uterine ruptures with a special emphasis on an unscarred uterus. Risk factors for uterine rupture in an unscarred uterus include grand multiparity, induction with misoprostol or oxytocin, malpresentation, or previous surgical abortion. Most cases present with maternal tachycardia, signs of fetal distress, and bleeding. The treatment for intrapartum uterine rupture includes fluid resuscitation and emergency laporotomy. Postpartum counseling regarding the risk of rerupture with subsequent pregnancies is an important piece of the management of these patients.