{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T08:18:37Z","timestamp":1780561117108,"version":"3.54.1"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T00:00:00Z","timestamp":1600819200000},"content-version":"vor","delay-in-days":84,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP Rep"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003A trial of labor after cesarean delivery is associated with uterine rupture rates of 0.5 to 0.9%, which can have devastating neonatal and maternal consequences. While uterine rupture typically occurs during labor, it can clinically manifest after delivery.<\/jats:p><jats:p>\n          Case\u2003A 23-year-old multiparous female presented in labor at term. Her obstetrical history was significant for a prior low transverse cesarean delivery. She had an uncomplicated labor course and spontaneous vaginal delivery.<\/jats:p><jats:p>Immediately after delivery, she complained of severe right shoulder and left lower quadrant pain. Bedside ultrasound revealed a 10-cm, complex, adnexal mass adjacent to the uterus without free fluid. She was hemodynamically stable and appeared clinically well. On repeat ultrasound, the mass was unchanged; however, the patient now had free intraperitoneal fluid along the liver edge.<\/jats:p><jats:p>Emergent laparotomy revealed a uterine rupture along her prior hysterotomy with extension into the right uterine artery. A 10-cm broad ligament hematoma ruptured posteriorly resulting in a 1-L hemoperitoneum. She received multiple blood products intraoperatively and recovered well postpartum.<\/jats:p><jats:p>\n          Conclusion\u2003Delivery after trial of labor after cesarean delivery usually decreases acuity; however, these patients remain at risk for significant complications. Clinicians should continue to assess patients in the immediate postpartum period and proceed with surgical intervention if necessary.<\/jats:p>","DOI":"10.1055\/s-0040-1715175","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T01:56:43Z","timestamp":1600912603000},"page":"e300-e303","source":"Crossref","is-referenced-by-count":6,"title":["Late Presentation of Uterine Rupture Following Vaginal Birth After Cesarean Delivery: A Case Report"],"prefix":"10.1055","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2364-7849","authenticated-orcid":false,"given":"Lindsey A.","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Tripler Army Medical Center, Honolulu, Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4353-1026","authenticated-orcid":false,"given":"Ariel A.","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Tripler Army Medical Center, Honolulu, Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1673-205X","authenticated-orcid":false,"given":"Brian","family":"Pierce","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Tripler Army Medical Center, Honolulu, Hawaii"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,9,23]]},"reference":[{"issue":"04","key":"ref1","first-page":"1","article-title":"Maternal morbidity for vaginal and cesarean deliveries, according to previous cesarean history: new data from the birth certificate, 2013","volume":"64","author":"S C Curtin","year":"2015","journal-title":"Natl Vital Stat Rep"},{"issue":"25","key":"ref3","doi-asserted-by":"crossref","first-page":"2581","DOI":"10.1056\/NEJMoa040405","article-title":"Maternal and perinatal outcomes associated with a trial of labor after prior cesarean delivery","volume":"351","author":"M B Landon","year":"2004","journal-title":"N Engl J Med"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.clp.2011.03.012","article-title":"Delivery after prior cesarean: maternal morbidity and mortality","volume":"38","author":"Y W Cheng","year":"2011","journal-title":"Clin Perinatol"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/S0002-9378(99)70317-0","article-title":"Rate of uterine rupture during a trial of labor in women with one or two prior cesarean deliveries","volume":"181","author":"A B Caughey","year":"1999","journal-title":"Am J Obstet Gynecol"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/0002-9378(93)90032-E","article-title":"Uterine rupture after previous cesarean delivery: maternal and fetal consequences","volume":"169","author":"A S Leung","year":"1993","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref7","first-page":"43","article-title":"Incomplete cesarean scar rupture","volume":"14","author":"F Ahmadi","year":"2013","journal-title":"J Reprod Infertil"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1016\/0002-9378(95)91422-6","article-title":"Spontaneous rupture of the unscarred uterus","volume":"172","author":"K M Sweeten","year":"1995","journal-title":"Am J Obstet Gynecol"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.ajog.2004.01.026","article-title":"Uterine rupture: differences between a scarred and an unscarred uterus","volume":"191","author":"K Ofir","year":"2004","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"56","DOI":"10.14740\/jocmr1922w","article-title":"Spontaneous postpartum rupture of an intact uterus: a case report","volume":"7","author":"G Mavromatidis","year":"2015","journal-title":"J Clin Med Res"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/14767058.2019.1613366","article-title":"Delayed diagnosis of intrapartum uterine rupture - maternal and neonatal consequences","volume":"15","author":"M Rottenstreich","year":"2019","journal-title":"J Matern Fetal Neonatal Med"}],"container-title":["American Journal of Perinatology Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1715175.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T01:58:32Z","timestamp":1600912712000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1715175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":10,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2020,8,4]]},"published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1715175","relation":{},"ISSN":["2157-6998","2157-7005"],"issn-type":[{"value":"2157-6998","type":"print"},{"value":"2157-7005","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}