Lower Uterine Segment Transverse Scar Rupture Following a Successful Vacuum Assisted Vaginal Birth after a Caesarean Delivery (VBAC): A Case Report and Review of the Literature

Abstract

Uterine scar rupture is a dreaded complication of vaginal birth after caesarean section (VBAC) because of the accompanying severe feto-maternal morbidity and mortality. The patient had a successful vacuum assisted VBAC of a healthy live male baby in a private hospital. Following the delivery, she developed severe postpartum hemorrhage that necessitated blood transfusion and immediate transfer to the Enugu State University Teaching hospital, Parklane. Emergency exploratory laparotomy confirmed a lower uterine segment scar rupture which was successfully repaired with satisfactory outcome. We therefore recommend that every VBAC should be planned, carefully selected, and conducted in a hospital with electronic fetal monitoring and capacity for comprehensive emergency obstetric care in order to avert possible feto-maternal complications.