{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:28:46Z","timestamp":1787758126443,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To present a highly rare case series of uterine rupture in primigravida individuals with an unscarred uterus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>The unscarred uterus in primigravida patients is supposed to be impervious to rupture, yet we have four cases of ruptured uterus in primigravida patients in our institute over a three-year period (2018-2021). In this case series, the ruptured uterus was discovered in primigravida women with premature labour, obstructed labour, instrumental delivery, and abruptio placentae. In the absence of previous surgery or multiparity, uterine rupture may go unnoticed, resulting in late diagnosis and considerable mortality and morbidity. All four cases required immediate resuscitation and laparotomy; uterine repair was performed in three cases, although a peripartum hysterectomy was needed in one.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Rupture uterus can occur even in the unscarred uterus of primigravida patients and early diagnosis and timely management can prevent high maternal mortality and morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2325_21","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T05:11:16Z","timestamp":1659330676000},"page":"4079-4082","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Case series of unscarred uterine rupture in primigravida"],"prefix":"10.4103","volume":"11","author":[{"given":"Kiran","family":"Trivedi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shikha","family":"Anand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Monalisa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-122-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2012\/598356","article-title":"Spontaneous uterine rupture of an unscarred uterus before labour","volume":"2012","author":"Gu\u00e8ye","year":"2012","journal-title":"Case Rep Obstet Gynecol"},{"key":"R2-122-20240828","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1111\/1471-0528.13394","article-title":"Uterine rupture:Trends over 40 years","volume":"123","author":"Al-Zirqi","year":"2016","journal-title":"BJOG"},{"key":"R3-122-20240828","first-page":"130","article-title":"Obstructed labor","volume":"1","author":"Bhaskar Rao","year":"1992","journal-title":"Obstet Gynecol Postgrad"},{"key":"R4-122-20240828","first-page":"621","article-title":"[Uterine rupture in a primigravid woman at 31st gestational week","volume":"171","author":"Ozeraityte","year":"2009","journal-title":"Ugeskrift for Laeger"},{"key":"R5-122-20240828","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s13224-015-0769-7","article-title":"Unscarred uterine rupture:A retrospective analysis","volume":"66","author":"Vernekar","year":"2016","journal-title":"J Obstet Gynecol India"},{"key":"R6-122-20240828","first-page":"bcr2012006372","article-title":"Rupture of an unscarred uterus diagnosed in the puerperium:A rare occurrence","volume":"2012","author":"Faria","year":"2012","journal-title":"Case Rep"},{"key":"R7-122-20240828","first-page":"bcr2014207321","article-title":"Spontaneous rupture of unscarred uterus in a primigravida with preterm prelabour rupture of membranes","volume":"2015","author":"Mourad","year":"2015","journal-title":"Case Rep"},{"key":"R8-122-20240828","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/00006254-197804000-00001","article-title":"Rupture of the pregnant uterus:A review","volume":"33","author":"Schrinsky","year":"1978","journal-title":"Obstet Gynecol Surv"},{"key":"R9-122-20240828","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"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2325_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:07:27Z","timestamp":1787756847000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2325_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2325_21","relation":{},"ISSN":["2249-4863"],"issn-type":[{"value":"2249-4863","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}