Mother's uterus ruptured from a previous C-section scar, baby delivered naturally.

Ho Chi Minh City – A 37-year-old pregnant woman, experiencing abdominal pain, was rushed to the hospital by her family. Doctors discovered that her uterus had ruptured at a previous cesarean section scar, and the fetus had prolapsed outside the pelvic cavity.

On June 8th, representatives from Hung Vuong Hospital announced that a 40-week-old fetus, instead of being in the mother's uterus, had spontaneously been born in the mother's pelvic region, was still alive, and remained intact within its amniotic sac.

Emergency surgeons noted that the mother had experienced vaginal bleeding of approximately 500 ml, and her uterus had already ruptured horizontally along the site of her previous surgical scar. Fortunately, her bladder and ureters were not damaged. More than 20 minutes later, the baby girl's umbilical cord was cut and she was safely delivered along with the placenta.

Currently, both mother and child are in stable health. The baby girl is staying with her mother and is being fed breast milk from the hospital's breast milk bank because the mother is not yet able to breastfeed herself.

The baby girl was safely delivered with the help of doctors after her mother's uterus ruptured. Photo: Provided by the hospital.

Associate Professor Dr. Huynh Nguyen Khanh Trang, Head of the Obstetrics Department at Hung Vuong Hospital, stated that uterine rupture is an obstetric complication that can easily lead to the death of both mother and child. For every minute blood vessels rupture, the pregnant woman can lose 400-500 ml of blood. Therefore, in just about 10 minutes, all the blood in the body will be gone, leading to cardiac arrest, which can cause the fetus to die first, followed by the mother.

This patient already had three children, one vaginal delivery and two cesarean sections. According to the doctor, this was an unsafe pregnancy. Normally, in cases of pregnancy on a previous cesarean scar, the pregnant woman should have regular check-ups, and the doctor would admit her to the hospital for monitoring when the pregnancy is mature enough (37-38 weeks) to schedule a planned cesarean section. However, in this case, the pregnant woman did not have complete prenatal check-ups, and the uterus, already bearing the old surgical scar, was subjected to excessive pressure, leading to rupture.

"It's unclear exactly when the patient's uterus ruptured, but fortunately, she was admitted to the hospital in time," said Dr. Trang.

Global statistics show that for every 1,000 pregnancies with a previous cesarean section, 5 cases result in uterine rupture. This rate increases fourfold for those who have had two previous pregnancies and cesarean sections. Therefore, doctors advise pregnant women with a previous cesarean section scar to have regular prenatal checkups, inform their doctor for specific advice and guidance, assess risk factors, and receive timely treatment.

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