Ruptured Uterus/Uterine Rupture

Our clients, Mr and Mrs Joshi recently spoke to the BBC about their tragic experience. Mrs Joshi had a uterine rupture.  Her baby sadly passed away.

Click here to watch their story. 

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A ruptured uterus is where the wall of the uterus tears during pregnancy or labour. This complication can lead to life-threatening consequences for both the mother and the baby. 

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Several negligent causes can contribute to a ruptured uterus, including:

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Failure to Recognise Risk Factors:

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Healthcare providers may fail to identify and monitor risk factors for uterine rupture during prenatal care or labour. Risk factors may include a history of uterine surgery, such as previous caesarean section, previous uterine rupture, uterine anomalies, placental abnormalities (such as placenta previa), or the use of certain medications (such as prostaglandin analogues). Failure to assess and manage these risk factors appropriately can increase the likelihood of uterine rupture.

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Induction or Augmentation of Labour Without Proper Monitoring:

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Induction or augmentation of labour with medications such as oxytocin, or prostaglandins may increase the risk of uterine rupture, particularly in women with a scarred uterus (e.g., previous caesarean section). Healthcare providers must carefully monitor patients undergoing labour induction or augmentation to prevent complications.

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Negligent Use of Uterine Stimulants:

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Inappropriate or excessive use of uterine stimulants, such as oxytocin, during labour can increase the risk of uterine hyperstimulation and rupture. 

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Inadequate Foetal Monitoring:

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Failure to adequately monitor foetal well-being during labour and delivery can contribute to delays in recognising signs of foetal distress, which may indicate uterine rupture and put both mum and baby at risk. 

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Inadequate Surgical Technique During Caesarean Section:

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During caesarean section, improper surgical technique (e.g., excessive manipulation of the uterus, improper closure of the uterine incision) can weaken the uterine wall and increase the risk of uterine rupture in subsequent pregnancies or during labour.

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Delayed Response to Signs of Uterine Rupture:

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Healthcare providers may fail to recognise or respond promptly to signs and symptoms of uterine rupture, such as persistent abdominal pain, abnormal uterine contractions, foetal heart rate abnormalities, or maternal hypovolemic shock. Delayed diagnosis and intervention can put the mother and the baby at risk.