# Revisiting Risk: Uterine Rupture in a Low-Risk Gravida Without Prior Surgery

## TL;DR

A rare case of uterine rupture occurred in a low-risk pregnant woman without prior surgery during labor induction.

## Contribution

This case report documents a rare spontaneous uterine rupture in an unscarred, low-risk uterus.

## Key findings

- A 35-year-old woman with no uterine surgery history experienced a 2-3 cm uterine rupture during labor induction.
- Both mother and baby had favorable outcomes after emergency cesarean delivery.
- The case emphasizes the need for vigilant monitoring during labor induction to detect rare complications.

## Abstract

Uterine rupture typically occurs in women with prior uterine surgery, but spontaneous rupture in an unscarred uterus is rare. This report highlights such an event in a low-risk gravida following labor induction. This case report is about a 35-year-old gravida 2, para 1 woman at 40 weeks and two days of gestation with no history of uterine surgery underwent labor induction with a Cook balloon catheter and misoprostol. After 15 hours of labor, persistent late fetal heart rate decelerations prompted emergency cesarean delivery. Intraoperative findings revealed a 2-3 cm full-thickness rupture of the anterior uterine wall. Both mother and neonate had favorable outcomes. Spontaneous rupture can occur in unscarred, low-risk uteri. Vigilant fetal monitoring and clinical awareness during labor induction and augmentation are essential for timely diagnosis and intervention.