Simultaneous Bladder and Uterine Rupture Secondary to Poor Management of Labour by A Traditional Birth Attendant: A Case Report

Abstract

Nigeria has one of the highest maternal morbidity and mortality globally. Poor health seeking behaviour and lack of adequate training among most Traditional Birth Attendants (TBA) are major contributors to our poor health indices. Uterine rupture is a major obstetric complication with significant morbidity and mortality. Uterine rupture occurring simultaneously with bladder rupture is rare. A major risk factor in our environment is failure to recognise high risk pregnancies as well as unsupervised labour. We report a case of an unbooked 34-year-old G5P4+0 trader at 39 weeks’ gestation who was referred from a traditional birth attendant with simultaneous bladder and uterine rupture.