Rupture of a Pregnant Uterus in a Primigravida: A Case Report

Abstract

Uterine rupture is a common obstetric complication in developing countries. Primigravidity is now commonly associated with uterine rupture. We present a case of uterine rupture in an unbooked primigravida who had induction of labor with oxytocin and was given 50ug of misoprostol about 3 hours after commencing oxytocin when it was adjudged patient was not contracting well. Operative findings include a female fresh stillbirth weighing 3.4kg partly in the peritoneal cavity, a transverse uterine rupture at the lower segment, hemoperitoneum of approximately 2 liters. The peritoneum was lavaged and repair was done without bilateral tubal ligation.