The goal of this study was to report on a series of exceptionally rare incidents of uterine rupture that occurred in women who were pregnant for the first time. Primigravida women are supposed to have an unscarred uterus that is immune to the possibility of rupturing; nonetheless, the institute has seen 4 instances of uterine rupture in primigravida women over the past 3 years (2018-2021). In this case series, primigravida women suffering from preterm labor, obstructed labor, instrumental delivery, or abruptio placentae were the ones whose uterus ruptured. In the absence of previous surgery or multiparity, uterine rupture may go unnoticed, resulting in a delayed diagnosis, which can significantly increase the risk of mortality or morbidity. In all 4 cases, emergency laparotomies and cardiopulmonary resuscitation were required; 3 of the women had to have their uteruses reconstructed, while the 4th woman underwent a peripartum hysterectomy. Even in women who have never given birth before, a uterine rupture is a serious medical emergency that, if treated quickly, can result in significant morbidity and mortality. This is the case even in women who have never given birth before. If treatment is put off, there is a greater possibility that these events will occur.

Source: journals.lww.com/jfmpc/Fulltext/2022/07000/Case_series_of_unscarred_uterine_rupture_in.122.aspx