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Tropical Journal of Obstetrics and Gynaecology

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Case Report: Rupture of the Pregnant Uterus in an Unbooked Primigravida

Ernest O. Orji, Abiodun A. Dayo, Olasunkanmi O. Malomo

Abstract


Uterine rupture is a life threatening complication in pregnancy in developing countries. While multiparity is a commonly associated factor, primigravida are said to be immune to uterine rupture. We present a case of uterine rupture in an unbooked primigravida who had massive bolus doses of intravenous oxytocin in the presence of prolonged obstructed labour and pelvic contraction. Operative findings include a male fresh stillbirth weighing 3.8 kg. and a transverse uterine rupture at the lower segment. Peritoneal lavage and repair of the rupture without bilateral tubal ligation were done.


Key Words: Uterus, Rupture, Haemorrhage, Primigravida.


[Trop J Obstet Gynaecol, 2002, 19: 49-50]



http://dx.doi.org/10.4314/tjog.v19i1.14371
AJOL African Journals Online