Revisiting Risk: Uterine Rupture in a Low-Risk Gravida Without Prior Surgery

Uterine rupture typically occurs in women with prior uterine surgery, but spontaneous rupture in an unscarred uterus is rare. This report highlights such an event in a low-risk gravida following labor induction. This case report is about a 35-year-old gravida 2, para 1 woman at 40 weeks and two days of gestation with no history of uterine surgery underwent labor induction with a Cook balloon catheter and misoprostol. After 15 hours of labor, persistent late fetal heart rate decelerations prompted emergency cesarean delivery. Intraoperative findings revealed a 2-3 cm full-thickness rupture of the anterior uterine wall. Both mother and neonate had favorable outcomes. Spontaneous rupture can occur in unscarred, low-risk uteri. Vigilant fetal monitoring and clinical awareness during labor induction and augmentation are essential for timely diagnosis and intervention.