Her hemoglobin concentration was
8.1 g/dl, two units of screened blood were cross
matched and she was taken to theatre for a caesarean
section. At laparotomy, there was hemoperitoneum
and a complete transverse tear of the uterus 10 cm
long was found on the lower segment anteriorly. A
dead male fetus that weighed 3800g was extracted.
The placenta was fundally placed and the
myometrium surrounding the rupture appeared
normal. Peritoneal lavage was done and the tear
repaired. The woman's post-operative course was
uneventful, and she was discharged on her 12 postoperative
day. She was counseled on the need for her
to book early in subsequent pregnancies and to be
delivered by elective caesarean section.