Hemorrhagic shock subsequent to an unscarred uterine rupture in a primigravida: A rare case report

Abstract

Peripartum hemorrhage (PPH) is the leading cause of maternal mortality and morbidity. It may be subsequent to many aetiologies such as uterine rupture. It usually occurs during vaginal birth with a scarred uterus and rarely in unscarred ones. Clinical assessment is mandatory to identify parturients at rik of PPH. The anesthesiologist alongside the obstetrician are major stakeholders in managing hemorrhagic shock. We hereby present the uncommon case of a hemorrhagic shock subsequent to an unscarred uterine rupture in a primigravida at 34 weeks’ gestation. The immediate presence of the anesthesiologist and quick decision making brightened the prognosis. Through this article we stressing the importance of multidisciplinary collaboration and establishing protocols to unify PPH hemorrhage even when it’s unexpected.