Rb. Gherman et al., Uterine rupture associated with vaginal birth after cesarean section: A complication of intravaginal misoprostol?, GYNECOL OBS, 50(3), 2000, pp. 212-213
Intravaginal misoprostol has become increasingly employed for labor inducti
on among patients with an unfavorable Bishop's score. Almost all of the rep
orted studies have specifically excluded patients with prior uterine surger
y. There has been, therefore, very little information concerning its usage
among patients attempting vaginal birth after cesarean section. We report a
patient with two prior low transverse uterine incisions who experienced ut
erine rupture after having received a single 25-mu g intravaginal dose of m
isoprostol, Copyright (C) 2000 S. Karger AG, Basel.