Ruptured Fault Line: Extensive Pelvic Organ Rupture Following Trial of Labor After Cesarean

Document Type

Conference Proceeding - Restricted Access

Publication Date



A 36-year-old G2P1 woman presented for a trial of labor after Cesarean (TOLAC). During labor, there were non-reassuring fetal heart tones, and the patient underwent an emergent Cesarean delivery (CD). Upon laparotomy, there were extensive vaginal, cervical, and uterine dehiscenses indicating multiple areas of rupture. Discussion will focus on incidence, presentation, and management of uterine rupture, in addition to timing of TOLAC with regards to prior CD.


American Society of Anesthesiology Annual Meeting; San Diego, CA; October 8-12, 2021.