Obstetric history Current delivery Perinatal outcome
Case 1 (1967-1977) Para 1 -Hysterotomy (20 weeks) with vertical incision. -Complete rupture of vertical scar (40 weeks) after vaginal delivery (stillbirth). -Four years after previous rupture. -Acute abdomen (29 weeks); immediate CS: complete rupture in vertical scar; placental separation and infant extrusion.
Stillbirth due to rupture.
Case 2 (1978-1988) Para 3 -Vaginal delivery, then emergency CS with vertical incision (breech at term). -Complete rupture (39 weeks) in vertical scar after labour start (stillbirth). -Five years after previous rupture. - Acute abdomen (30 weeks); immediate CS: complete rupture in vertical scar.
Good Apgar score with no signs of asphyxia; early neonatal death due to severe multiple congenital malformations.
Case 3 (2000-2011) Para 1 -Uncompleted transcervical resection of myom (fundal perforation). -Pre-labour fundal rupture (27 weeks; neonatal death). -One year after previous rupture. -Mild abdominal pain/admission (25-29 weeks). -Acute abdomen (32 weeks); immediate CS: fundal rupture & placenta increta.
Only moderate asphyxia; admitted to neonatal intensive care unit (NICU) and discharged healthy.