She had a history of a previous delivery by caesarean section (not sure why). Her family said she had been laboring at home, pushing for over 12 hours.
When she arrived to Tenwek, the baby had no heart tones, and OtherDoc suspected uterine rupture.
He was right....
Rupture through the posterior aspect of the uterus and into the broad ligament.
Anterior view: OtherDoc demonstrating how the uterus was nearly amputated due to the anterior incision needed for delivery of the term infant and the posteriorly located rupture site. Unfortunately, this patient required a hysterectomy due to the extensive damage. She has one living child from her first pregnancy.
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