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Case Reports in Obstetrics and Gynecology
Volume 2012, Article ID 786753, 2 pages
http://dx.doi.org/10.1155/2012/786753
Case Report

Spontaneous Rupture of the Anterior Vaginal Wall during the First Stage of Labour

1Department of Obstetrics and Gynaecology, Hornsby Ku-ring-gai Hospital, Palmerston Road, Hornsby, NSW 2077, Australia
2Department of Obstetrics and Gynaecology, Canberra Hospital, Yamba Drive, Garran, ACT 2605, Australia

Received 26 February 2012; Accepted 12 April 2012

Academic Editors: I. Hoesli, A. Ohkuchi, and Y. Purwosunu

Copyright © 2012 Meleesa Joy Schultz and Triveni Nanda. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The risk of uterine rupture during attempted trial of labor after caesarean delivery (TOLAC) is well documented. However, vaginal rupture (in the absence of obstructed labour) is exceptionally uncommon. Below is described the rare case of a 37-year-old multiparous woman attempting TOLAC, who suffered a vaginal—rather than uterine—rupture, during the first stage of spontaneous labour. This case is an important reminder to obstetricians that concealed ruptures of both the vagina and uterus do occur and must be considered in clinical situations where another explanation is not apparent.