Spontaneous uterine rupture in a multiparous woman without uterus scar
https://doi.org/10.17749/2313-7347/ob.gyn.rep.2025.604
Abstract
Spontaneous uterine rupture during pregnancy is a life-threatening complication that predominantly occurs in the third trimester. A scar resulting from a prior cesarean section represents the primary risk factor for uterine rupture. It is one of the most severe complications in obstetrics, accompanied by bleeding, severe traumatic and hemorrhagic shock, and high perinatal mortality for both the fetus and the woman. Cases of uterine rupture without commonly accepted risk factors, regardless of parity or gestational age, have been described in the literature. Here, we present a clinical case of a complete uterine rupture occurred outside a medical facility at gestational age of 25 weeks in a multiparous woman with a complicated obstetric-gynecological history, lacking uterine scar. This was accompanied by severe hemorrhagic shock, cardiac arrest, and antenatal fetal demise. High-quality specialized care resulted in a favorable outcome for the mother.
About the Authors
G. Zh. Bodykov
Kazakhstan-Russian Medical University, NSEI
Kazakhstan
Kazakhstan
Gani Zh. Bodykov, MD, Dr Sci Med, Prof. of NAS of the Republic of Kazakhstan
51/53 Abylai khan Avenue, Almaty 050000, Republic of Kazakhstan
V. N. Lokshin
«PERSONA» International Clinic of Reproductive Health, LLP
Kazakhstan
Kazakhstan
Vyacheslav N. Lokshin, MD, Dr Sci Med, Prof., Academician of NAS of the Republic of Kazakhstan
32а Utepov Str., Almaty 005060, Republic of Kazakhstan
E. E. Mukhametova
Asfendiyarov Kazakh National Medical University, NCJSC
Kazakhstan
Kazakhstan
Elmira E. Mukhametova, MD
94 Tole bi Str., Almaty 050012, Republic of Kazakhstan
B. N. Bishekova
Asfendiyarov Kazakh National Medical University, NCJSC
Kazakhstan
Kazakhstan
Balzira N. Bishekova, MD, PhD
94 Tole bi Str., Almaty 050012, Republic of Kazakhstan
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For citations:
Bodykov G.Zh., Lokshin V.N., Mukhametova E.E., Bishekova B.N. Spontaneous uterine rupture in a multiparous woman without uterus scar. Obstetrics, Gynecology and Reproduction. https://doi.org/10.17749/2313-7347/ob.gyn.rep.2025.604
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