Transmara District Hospital, P,O Box 98-40700, Kilgoris, Kenya.
BMC Pregnancy Childbirth. 2013 Mar 23;13:76. doi: 10.1186/1471-2393-13-76.
Uterine rupture is a common complication in women attempting their first virginal birth after caesarean section (VBAC) but the risk diminishes with subsequent VBACs. It occurs in rates of 0.5-9% and is influenced by various factors.
A unique case of uterine rupture in a Kenyan woman of African descent during a repeat VBAC complicated by shoulder dystocia was discovered during the 4th stage of labour when omentum was noted protruding through the vagina. She had delivered 4 years earlier by caesarean section.
It is not common to experience uterine rupture among women attempting repeat VBAC. When it occurs, it may not always follow the known pattern intra-partum and is often associated with poor foetal outcome.
在剖宫产后首次尝试阴道分娩（VBAC）的妇女中，子宫破裂是一种常见的并发症，但随着后续 VBAC 的增加，风险会降低。其发生率为 0.5-9%，并受多种因素影响。
一名非洲裔肯尼亚妇女在重复 VBAC 过程中发生了独特的子宫破裂，该妇女在 VBAC 过程中出现肩难产，在产程第 4 阶段时发现网膜从阴道突出。她在 4 年前曾行剖宫产分娩。
尝试重复 VBAC 的妇女中，子宫破裂并不常见。当发生时，它可能并不总是遵循已知的产时模式，并且通常与胎儿结局不良有关。
