{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:05:46Z","timestamp":1784603146571,"version":"3.55.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,5,7]]},"abstract":"<jats:p>Intrapartum uterine rupture is a true obstetrical emergency. Uterine rupture is associated with severe maternal and fetal morbidity and mortality. It is rare in the unscarred uterus of a primigravida. A 23-year-old primigravida with an unscarred uterus was admitted with preterm prelabour rupture of membranes at 36<jats:sup>+4<\/jats:sup>\u2005weeks of gestation. Abnormal fetal heart monitoring, associated with acute onset of severe abdominopelvic pain, developed on admission. Rupture occurred prior to onset of regular uterine contractions and in the absence of any interventional oxytocin. The neonate had evidence of severe acidosis despite emergency caesarean delivery. This case highlights the importance of maintaining a high index of suspicion for uterine rupture, even in the unlikely setting of a primigravida with an unscarred uterus.<\/jats:p>","DOI":"10.1136\/bcr-2014-207321","type":"journal-article","created":{"date-parts":[[2015,6,8]],"date-time":"2015-06-08T06:59:36Z","timestamp":1433746776000},"page":"bcr2014207321","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Spontaneous rupture of unscarred uterus in a primigravida with preterm prelabour rupture of membranes"],"prefix":"10.1136","volume":"2015","author":[{"given":"Wael Sayed","family":"Mourad","sequence":"first","affiliation":[{"name":"Department of Community and Family Medicine, Obstetrics Fellowship Division and Family Medicine Residency Program, University of Missouri Kansas City, Kansas City, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbra J","family":"Bersano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Truman Medical Center Lakewood, Kansas City, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter B","family":"Greenspan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane Medved","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of Family and Geriatric Medicine, University of Louisville School of Medicine, Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,6,8]]},"reference":[{"key":"2025082722422960000_2015.jun08_1.bcr2014207321.1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.5455\/2320-1770.ijrcog001612","article-title":"Rupture uterus following blunt trauma at 16\u2005weeks gestation","volume":"1","author":"Kaur","year":"2012","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2025082722422960000_2015.jun08_1.bcr2014207321.2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001184"},{"key":"2025082722422960000_2015.jun08_1.bcr2014207321.3","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000261643.11301.56"},{"key":"2025082722422960000_2015.jun08_1.bcr2014207321.4","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.1016\/j.ajog.2011.08.013","article-title":"Spontaneous prelabor uterine rupture in a primigravida: a case report and review of the literature","volume":"205","author":"Uccella","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"2025082722422960000_2015.jun08_1.bcr2014207321.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01224.x"},{"key":"2025082722422960000_2015.jun08_1.bcr2014207321.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.05.026"},{"key":"2025082722422960000_2015.jun08_1.bcr2014207321.7","doi-asserted-by":"crossref","unstructured":"Francois KE , Foley MR . Antepartum and Postpartum Hemorrhage. In: Gabbe SG , Niebyl JR , Simpson JL, eds . Obstetrics: normal and problem pregnancies. 5th edn. 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