{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:12:05Z","timestamp":1777907525537,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Primary spontaneous colporrhexis is a rare condition but is an important differential of haemodynamic instability after an uneventful golden hour postnatally. We report such a case in a primipara who had presented in active labour. She had progressed well and delivered by normal vaginal delivery. About 5 h thereafter, she developed tachycardia and hypotension. The vaginal examination was suggestive of colporrhexis. At emergency laparotomy, a posterior uterine rent was identified and repaired. Timely identification is crucial and transfer where a laparotomy can be immediately performed may be life-saving.<\/jats:p>","DOI":"10.1177\/00494755251338597","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T03:07:25Z","timestamp":1746500845000},"page":"275-277","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary spontaneous colporrhexis in a primigravida"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8074-4944","authenticated-orcid":false,"given":"Eunice Susanna","family":"Abraham","sequence":"first","affiliation":[{"name":"Consultant, Department of Obstetrics and Gynaecology, Madhipura Christian Hospital, Madhipura, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1597-6594","authenticated-orcid":false,"given":"Ashwin","family":"Sukumar","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Community health, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6259-8157","authenticated-orcid":false,"given":"Arpit Jacob","family":"Mathew","sequence":"additional","affiliation":[{"name":"Consultant, Department of Obstetrics and Gynaecology, Madhipura Christian Hospital, Madhipura, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9529-8409","authenticated-orcid":false,"given":"Amy Eapen","family":"Mathew","sequence":"additional","affiliation":[{"name":"Consultant, Department of Obstetrics and Gynaecology, Madhipura Christian Hospital, Madhipura, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0079-283X","authenticated-orcid":false,"given":"Immanuel Judson","family":"Paul","sequence":"additional","affiliation":[{"name":"Senior Registrar, Accident and emergency, John Radcliffe Hospital, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0751-3709","authenticated-orcid":false,"given":"Anne George","family":"Cherian","sequence":"additional","affiliation":[{"name":"Professor, Department of Community health, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"818","article-title":"Colporrhexis \u2013 with a report of a case of spontaneous primary rupture of the posterior vaginal vault during labour","volume":"29","author":"Resnick L","year":"1955","unstructured":"Resnick L, Muller HW. Colporrhexis \u2013 with a report of a case of spontaneous primary rupture of the posterior vaginal vault during labour. S Afr Med J 1955; 29: 818\u2013821.","journal-title":"S Afr Med J"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.17659\/01.2017.0011"},{"key":"e_1_3_2_4_2","first-page":"484","volume-title":"Manual of obstetrics (Eden and Holland)","author":"Brews AA","year":"1948","unstructured":"Brews AA. Manual of obstetrics (Eden and Holland). 9th ed. London: J. & A. Churchill, 1948, p. 484.","edition":"9"},{"key":"e_1_3_2_5_2","first-page":"151","article-title":"Rupture of the vagina during spontaneous delivery","volume":"24","author":"Brander JH","year":"1964","unstructured":"Brander JH, Buchman MI. Rupture of the vagina during spontaneous delivery. 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