Spontaneous Uterine Rupture in an Unscarred Uterus in 3 rd Trimester of Pregnancy Associated with a Hydrocephalic Baby

Uterine rupture is a major obstetric hazard. In India it still accounts for 5-10% of all maternal deaths due to a greater number of unbooked obstetric emergencies, often originating from rural areas with poor antenatal care. We are reporting a case of a 30 year old G3P2+0L2 unbooked and uninvestigated patient admitted to the labor room with chief complaints of abdominal pain and vaginal bleeding. By history and clinical examination provisional diagnosis of rupture uterus was made and patient was immediately shifted to the operation theatre where her sub-total hysterectomy was done. Uterine rupture in an unscarred uterus is a rare entity as quoted by various studies. In this case the predisposing factors seem to be multiparity and hydrocephalic baby.