Uterine rupture in a multiparous woman during labor induction with oral misoprostol

A multigravida with gestational diabetes, mild pregnancy-induced hypertensi on and a previous curettage received four doses of misoprostol (100 mu g) a t three hourly intervals for induction of labor at term. Vaginal delivery o f a live healthy baby occurred 1 h after the fourth dose. Hindwaters were b loodstained. Three hours later, she had excessive bleeding. Examination sho wed that the left lateral uterine wall had ruptured. She recovered after hy sterectomy and blood transfusions. (C) 2000 International Federation of Gyn ecology and Obstetrics.