Primary, Spontaneous, Complete Colporrhexis during Precipitate Vaginal Birth after Caesarean Section (VBAC)

Abstract

Background: Obstetric hemorrhage emerges as the most common cause of severe maternal morbidity and mortality around the globe. Colporrhexis or rupture of the vaginal vault is a rare, but dangerous complication of labor and is a rare cause of postpartum hemorrhage. Case Report: We hereby report 32 years old second gravida undergoing vaginal birth after cesarean section, who in second stage of labor sustained a spontaneous posterior vaginal wall tear extending in to the posterior fornix opening into the pouch of Douglas, which was managed successfully by both vaginal and abdominal approach. Conclusion: This case-study also highlights the importance of quality of care as one of the determinants of phase III delay affecting the prognosis and outcomes while caring for near misses in obstetrics