Two uterine scars and a vaginal birth

BMJ Case Rep. 2021 Jan 18;14(1):e236993. doi: 10.1136/bcr-2020-236993.

Abstract

Uterine scarring increases the risk of uterine rupture during labour, which can result in significant maternal and fetal morbidity and mortality. There is insufficient evidence for a clear recommendation on the safety of vaginal delivery in the context of a patient with both a uterine perforation and a previous lower uterine segment caesarean section. We present the case of a woman with a history of one previous caesarean section and uterine perforation with a uterine manipulator, who subsequently had an uncomplicated normal vaginal delivery.

Keywords: obstetrics and gynaecology; radiology.

Publication types

  • Case Reports

MeSH terms

  • Cesarean Section / adverse effects*
  • Cesarean Section / methods
  • Cicatrix / etiology*
  • Female
  • Humans
  • Postoperative Complications / etiology*
  • Pregnancy
  • Uterine Perforation / etiology*
  • Vaginal Birth after Cesarean*