Uterus was
exteriorized, and two-layer closure was done. Sudden or
atypical maternal abdominal pain occurs more rarely than
fetal heart rate decelerations or bradycardia [8]. In a review
of 10,967 patients undergoing VBAC, only 22 % of com-
plete uterine ruptures presented with abdominal pain, and
76 % presented with signs of fetal distress diagnosed by
continuous electronic fetal monitoring [8].