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Journal of Case Reports
Primary, Spontaneous, Complete Colporrhexis during Precipitate Vaginal Birth after Cesarean Section (VBAC)
Asmaa Abdulsalam, Lakshmi Bayi Sushama , Zeenat Rizvi, Mythili Tallavajhula
Department of Obstetrics and Gynecology, Al-Ahli Hospital, P.O.Box 6401, Doha, Qatar.
Corresponding Author:
Dr. Asmaa Abdulsalam
Email: abdulslamasma@gmail.com
Received: 26-OCT-2016 Accepted: 28-DEC-2016 Published Online: 30-JAN-2017
DOI: http://dx.doi.org/10.17659/01.2017.0011
Background: Obstetric hemorrhage emerges as the most common cause of severe maternal morbidity and mortality around the globe. Colporrhexis or rupture of the vaginal vault is a rare, but dangerous complication of labor and is a rare cause of postpartum hemorrhage. Case Report: We hereby report 32 years old second gravida undergoing vaginal birth after cesarean section, who in second stage of labor  sustained a spontaneous posterior vaginal wall tear extending in to the posterior fornix opening into the pouch of Douglas, which was managed  successfully by both vaginal and abdominal approach. Conclusion: This case-study also highlights the importance of quality of care as one of the determinants of phase III delay affecting the prognosis and outcomes while caring for near misses in obstetrics.
Keywords : Labor, Postpartum Hemorrhage, Pregnancy, Vaginal Birth after Cesarean.
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