Ruptured Fault Line: Extensive Pelvic Organ Rupture Following Trial of Labor After Cesarean
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.
Cruz A, Ahmed A, Markatos SN, Vahabzadeh CM. Ruptured fault line: extensive pelvic organ rupture following trial of labor after cesarean. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/5676