Rupture of an unscarred uterus in a quadruplet pregnancy.
BACKGROUND
Uterine rupture of an unscarred uterus is a rare complication in a quadruplet pregnancy.


METHODS
A 30-year-old woman, gravida 4 para 0030, with a quadruplet pregnancy and no previous uterine surgeries presented with moderate vaginal bleeding at 32 4/7 weeks of gestation. Fetal testing was reassuring, and the cervix showed no signs of preterm labor. A decision was made to proceed with cesarean delivery because of the amount of vaginal bleeding, with surgical findings of uterine rupture superior to the lower uterine segment.


CONCLUSIONS
High-order gestations may be an independent risk factor for uterine rupture.
Womack Army Medical Center, Department of Obstetrics and Gynecology, Fort Bragg, North Carolina 28307, USA. christopher.tarney@us.army.mil
Christopher M
CM
Tarney
Paul
P
Whitecar
Mark
M
Sewell
Lindsay
L
Grubish
Erica
E
Hope
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D059287:Pregnancy, Quadruplet; D012422:Rupture, Spontaneous / Q000150:complications / Q000601:surgery; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000601:surgery; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery