UTERINE RUPTURE DURING LABOR IN A PRIMIGRAVIDA

Uterine rupture ie extremely rare in the absence of any of the commonl y recognized risk factors. We describe here a case of incomplete uteri ne rupture in a woman in her first pregnancy who had no previous instr umentation to the genital tract. Her only significant history was that of 2 episodes of minor antepartum haemorrhage occurring prior to indu ction of labour with artificial rupture of membranes and intravenous o xytocin. The rupture was manifested by 450 mt blood in the peritoneal cavity when an emergency Caesarean section was performed for persisten t fetal bradycardia.