Silent Uterine Rupture During Second Trimester Abortion

Vatsla Dadwhal (Assistant Professor)
Alka Verma (Senior Resident)
Suneeta Mittal (Professor)

Department of Obstetrics and Gynaecology,
All India Institute of Medical Sciences, New Delhi, India

Summary

• Termination of second trimester pregnancy is associated with 3-5 times higher morbidity and mortality than that of first trimester pregnancy.
  
  
• Patients undergoing second trimester abortion require careful monitoring, especially if more than one drug is used.
  
  
• Uterine rupture is a rare event during second trimester abortion, particularly as in the case reported here in patients without recognised risks such as post-caesarean uterine scarring.
  

Editor's Comment

The occurrence of silent uterine rupture during a second-trimester abortion is documented in this case, despite the absence of high-risk factors. This highlights the need for careful monitoring in cases of second trimester abortion and also for readiness in re-evaluating clinical management.

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