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Revisiting Risk: Uterine Rupture in a Low-Risk Gravida Without Prior Surgery

Year: 2026

Type: article

Abstract: Uterine rupture typically occurs in women with prior uterine surgery, but spontaneous rupture in an unscarred uterus is rare. This report highlights such an event in a low-risk gravida following labor induction. This case report is about a 35-year-old gravida 2, para 1 woman at 40 weeks and two days of gestation with no history of uterine surgery underwent labor induction with a Cook balloon catheter and misoprostol. After 15 hours of labor, persistent late fetal heart rate decelerations prompted emergency cesarean delivery. Intraoperative findings revealed a 2-3 cm full-thickness rupture of the anterior uterine wall. Both mother and neonate had favorable outcomes. Spontaneous rupture can occur in unscarred, low-risk uteri. Vigilant fetal monitoring and clinical awareness during labor induction and augmentation are essential for timely diagnosis and intervention.

Source: Cureus

DOI: 10.7759/cureus.101560

Authors: Vithura Kunarathnam, Mariam Dar, Merrai Asad, Itai Itzhak, Petr Itzhak

Institutions: Nassau University Medical Center, American University of the Caribbean School of Medicine, St. John's University

Language: English

Topic: Maternal and Perinatal Health Interventions

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7124322877