34 Year Old Woman with Uterine Rupture Iminens Et Causa History of Two Caesarean Sections: A Case Report


  • Dima Fitri Hayuningrum Medical Faculty, Lampung University
  • Rossalia Artasya
  • Alinta Ayuningtyas
  • Joel Bertelin Purba




Sectio Caesaria, Uterine ruptured


Uterine rupture is a serious but rare complication of pregnancy, in which the uterus is torn either during pregnancy or delivery. Uterine rupture can cause death for the mother and the fetus. The prevalence of uterine rupture in developing countries is higher than developed countries, with risk factors such as history of cesarean delivery, obstructed labor, grand multiparas, careless midwifery intervention or manipulation, lack of antenatal care, poor access to emergency obstetric care and low socioeconomic status. Correct diagnosis and treatment of uterine rupture such as hysterectomy, resuscitation with crystalloid fluids and massive blood transfusions, as well as appropriate antibiotic administration can prevent mortality in both mother and fetus. The patient was diagnosed as G4P2A1 pregnant at term in the second stage of labor + suspected CPD (Cephalopelvic disproportion) + BSC (former cesarean section) 2 times + suspected RUI (imminent uterine rupture) + JTH (single live fetus) cephalic presentation. Management of the patient consisted of monitoring the mother's vital signs, fetal heart rate, HIS, 100 mL NaCl + 2 grams of Cefazolin, and preparing for abdominal termination of pregnancy.


Author Biographies

Rossalia Artasya



Alinta Ayuningtyas



Joel Bertelin Purba




Schaap T, Bloemenkamp K, Deneux-Tharaux C, et al. Defining definitions: a Delphi study to develop a core outcome set for conditions of severe maternal morbidity. BJOG 2019;126:394–401.

Keag OE, Norman JE, Stock SJ. Long-term risks and benefitsassociated with cesarean delivery for mother, baby, and subsequent

pregnancies: systematic review and meta-analysis. PLoS Med 2018;15:e1002494.

Zhan W, Zhu J, Hua X, Ye J, Chen Q, dan Zhang J. 2021. Epidemiology of uterine rupture among pregnant women in China and development of a risk prediction model: analysis of data from a multicentre, cross-sectional study. BMJ Open. 11: e054540. doi:10.1136/bmjopen-2021-054540

G Vandenberghe, Blaere MD, Leeuw VV, K Roelens, Y Englert, M Hanssens, dan H Verstraelen. 2016. Nationwide population-based cohort study of uterine rupture in Belgium: results from the Belgian Obstetric Surveillance System. BMJ Open. 6: e010415. doi:10.1136/bmjopen-2015-010415

Vilchez G, Nazeer S, Kumar K, et al. 2017. Contemporary epidemiology and novel predictors of uterine rupture: a nationwide population-based study. Arch Gynecol Obstet. 296:869–75.

Motomura K, Ganchimeg T, Nagata C, et al. 2017. Incidence and outcomes of uterine rupture among women with prior caesarean section: WHO multicountry survey on maternal and newborn health. Sci Rep. 7:44093.

Desta M, Amha H, Bishaw KA, Adane F, Assemie MA, Kibret GD, Yimer NB. 2020. Prevalence and predictors of uterine rupture among Ethiopian women: A systematic review and meta-analysis. PLoS ONE 15(11): e0240675

Guise J-M, McDonagh MS, Osterweil P, et al. Systematic review of the incidence and consequences of uterine rupture in women with previous caesarean section. BMJ 2004;329:19–25

Delafield R, Pirkle CM, dan Dumont A. 2018. Predictors of uterine rupture in a large sample of women in Senegal and Mali: cross-sectional analysis of QUARITE trial data. BMC pregnancy and childbirth. 18(1):432.https://doi.org/10.1186/s12884-018-2064-y PMID: 30382820

Roberts CL, Nippita TA. 2015. International caesarean section rates: the rising tide. The Lancet Global Health. 3(5): e241–e2. https://doi.org/10.1016/S2214-109X(15)70111-7 PMID: 25866356

Nations U. 2014. World urbanization prospects: The 2014 revision, highlights. Department of Economic and Social Affairs.

Vogel JP, Betra´n AP, Vindevoghel N, Souza JP, Torloni MR, Zhang J, et al. 2015. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. The Lancet Global Health. 2015; 3(5):e260–e70. https://doi.org/10.1016/S2214-109X(15) 70094-X PMID: 25866355)

Farine D, Shepherd D, Robson M, Gagnon R, Hudon L, Basso M, et al. 2012. Classification of caesarean sections in Canada: the modified robson criteria. Journal of Obstetrics and Gynaecology Canada. 34 (10):976–9. https://doi.org/10.1016/S1701-2163(16)35412-3 PMID: 23067954

Paquette K, Markey S, Roberge S, Girard M, Bujold E, Demers S. 2019. First and Third Trimester Uterine Scar Thickness in Women With Previous Caesarean: A Prospective Comparative Study. Journal of Obstetrics and Gynaecology Canada. 41(1):59–63. https://doi.org/10.1016/j.jogc.2018.02.020 PMID: 30316720

Thisted DLA, Mortensen LH, Krebs L. 2015. Uterine rupture without previous caesarean delivery: a population-based cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology. 195:151–5. https://doi.org/10.1016/j.ejogrb.2015.10.013 PMID: 26544026

Prawirohardjo, Sarwono. 2014. Ilmu Kebidanan Sarwono Prawirohardjo. Jakarta: PT. Bina Pustaka Sarwono Prawirohardjo.

Ramsay M. 2010. Changes in WBC count. In : Sue Pavord, Beverley Hunt, eds. Obstetric Hematology Manual. London : Guy’s and St. Thomas’ NHS Foundation Trust and King’s College. Halaman 92-98.

Mutua, DN, Njagi EN, Orinda GO. 2018. Hematological profile of normal pregnant women. J Blood Lymph. 8(2) : 1-6

ACOG. 2019. Practice Bulletin No. 207: Thrombocytopenia in Pregnancy. Obstet Gynecol. 133 (3):e181-e193.

Temple R, Burn B. 2018. Thrombocytopenia and neutropenia: A structured approach to evaluation. The Journal of Family Practice. 67(7):E1-E8

Cunningham, Gary F. 2012. Obstetri William. Edisi 23. Jakarta: EGC



How to Cite

Hayuningrum, D. F., Artasya, R. ., Ayuningtyas, A., & Purba, J. B. (2023). 34 Year Old Woman with Uterine Rupture Iminens Et Causa History of Two Caesarean Sections: A Case Report. Medical Profession Journal of Lampung, 13(7), 1310-1315. https://doi.org/10.53089/medula.v13i7.869