2020 Volume 56 Issue 1 Pages 124-127
Although uterine rupture is rare, its incidence is higher among pregnant women with a history of uterine surgery. Use of epidural anesthesia can possibly delay the diagnosis of uterine rupture. In this case, a 34-year-old gravida 2 para 1 women with no history of uterine surgery developed uterine rupture during induction with epidural anesthesia which was diagnosed early and immediate lifesaving intervention was provided. She was admitted for labor induction at 39+6 weeks of gestation. The labor was prolonged at 6-cm cervical dilation. She experienced sudden pain in her left abdomen, and fetal heart rate abnormalities were observed after frequent contraction. We diagnosed NRFS and decided to perform a cesarean section. During laparotomy, the baby was extracted from the abdominal cavity and delivered. The postoperative period was good for both the mother and baby. Uterine rupture can occur in pregnant women with unscarred uterus. In particular, sudden-onset abdominal pain and fetal heart rate abnormalities with good pain relief indicate uterine rupture.
