Evidence map›Paper›PMID 41730582›Full record

ArticleBMJ case reports2026

Spontaneous posterior uterine rupture following vaginal delivery in an unscarred uterus.

Natasha Vania, Erum Azhar, Nabiha Malik, Ritika Rao, Laila Younes

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Natasha VaniaObstetrics & Gynecology Residency Program, Creighton University East Valley Arizona, Gilbert, Arizona, USA.
Erum AzharObstetrics & Gynecology Residency Program, Creighton University East Valley Arizona, Gilbert, Arizona, USA.
Nabiha MalikFamily Medicine Residency Program, WellSpan Good Samaritan Hospital, Lebanon, Pennsylvania, USA.
Ritika RaoMidwestern University, Glendale, Arizona, USA.
Laila YounesFamily & Community Medicine, Creighton University School of Medicine - Phoenix Health Sciences Campus, Phoenix, Arizona, USA laila.younes@commonspirit.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary uterine rupture, defined as rupture of an unscarred uterus during pregnancy or delivery, is a rare but catastrophic obstetric emergency. The estimated incidence is approximately 1 in 16 840-19 765 deliveries in developed nations. We report a case of a multiparous woman in her early 30s who presented in spontaneous labour and developed haemorrhagic shock following an apparently uncomplicated vaginal delivery. Rapid recognition of concealed bleeding led to emergent laparotomy, revealing a left posterior uterine wall rupture involving the venous plexus. Surgical control with supracervical hysterectomy and multidisciplinary management-including interventional radiology review at a tertiary centre-achieved complete haemostasis and recovery. This case underscores the importance of early recognition and rapid escalation when postpartum bleeding persists despite standard therapy.

Indexed as

Delivery, ObstetricPostpartum HemorrhageShock, HemorrhagicUterine RuptureAdultFemaleHumansHysterectomyPregnancyMaterno-fetal medicineObstetrics, gynaecology and fertilityPostpartum HemorrhagePregnancyReproductive medicine

Identifiers

PMID41730582
PMCPMC12931368

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.