According to medical records, the mother was 40 weeks and 3 days pregnant with an old placenta surgical scar due to a narrow pelvic frame. During her pregnancy, she did not have a regular pregnancy check-up, only had an ultrasound twice and expressed her desire to give birth naturally.
The mother was taken to the Emergency Department, Military Hospital 175 in a state of severe pain in the old surgical area, with fresh red blood in her vaginal canal. Realizing signs of danger, the crew immediately set up a transmission line, performed a quick test and activated an emergency alarm for the Obstetrics Department.
Less than two minutes later, Dr. Tran Ngoc Son - Obstetrics Department, Military Hospital 175 was present to examine and assess the risk of uterine rupture, and decided to transfer the mother directly to the operating room according to the red alert procedure. At the operating room, the patient continued to have severe abdominal pain, deformed abdomen, and a ruptured fetal heart. The doctors quickly consulted and agreed to prescribe an emergency evening cesarean section, ignoring all administrative procedures to prioritize saving the mother and baby's lives.
When the abdomen was opened, the team recorded a complete rupture of the uterus, the rupture line was about 13 cm long at the location of the old surgical scar, extending to the cervix and closing the left uterine artery. The lining of the uterus is split into two layers, causing the chest, abdomen and umbilical cord to escape. There were about 700 ml of fresh red blood mixed with broth in the abdomen. According to Dr. Nguyen Thi Huyen Trang - Head of the Obstetrics Department, Military Hospital 175 HCMC, this is a situation with a very high risk of death if not treated in a very short time.
The baby boy weighed 2,900 grams and was taken from the mother's womb in a state of purple, poor appetite, and weak heart rate. The Department of Pediatrics team performed a positive resuscitation, and after about 5 minutes, the child was rosy, breathing and crying well. The surgery continued to focus on controlling bleeding, recovering and preserving the mother's uterus. From the time of receiving the fetus until it was safely removed, the entire process took only about 10 minutes. Currently, the health of the mother and child is stable.
According to Dr. Nguyen Thi Huyen Trang, uterine rupture is a particularly dangerous obstetric complication that often occurs on the basis of old surgical scars. Pregnant women with a history of cesarean section need to have regular check-ups and are fully assessed from the 36th week to determine the appropriate time and method of birth. Signs such as pain in the old surgical scar area, continuous pain in the mucous membranes and increased pain when pressing should be considered an early warning. Patients should immediately go to a medical facility with a Obstetrics Department for timely treatment when there are unusual signs.
