Rupture of the Uterus

Uterine Rupture in Resource-Poor Countries

“…This often occurs in cases in which labor is already obstructed and leads to serious complications. 67,68 Aggressive manipulation of the uterus (such as the application of forceful fundal pressure) may also be used by untrained traditional birth attendants 3,5,8,20,47,51 or by inadequately trained health care workers, who sometimes attempt to perform heroic obstetric maneuvers (such as internal podalic version or breech extraction, especially of a retained second twin) without adequate resources or supervision. [1][2][3]5,[7][8][9]11,14,16,20,23,26,[31][32][33][34]38,41,53 Many cases of uterine rupture are associated with difficult instrumental delivery 1,2,6,8,15,16,20,23,27,[30][31][32][33][39][40][41]43,50,…”

“…[1][2][3]5,[7][8][9]11,14,16,20,23,26,[31][32][33][34]38,41,53 Many cases of uterine rupture are associated with difficult instrumental delivery 1,2,6,8,15,16,20,23,27,[30][31][32][33][39][40][41]43,50,52 or destructive obstetric procedures such as craniotomy or decapitation of a dead fetus, which have virtually been abandoned in contemporary Western obstetric practice. [1][2][3]6,8,16,23,27,42 More rarely, uterine rupture may be associated with unusual conditions such as uterine abnormalities (bicornuate uterus 6,…”