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Third consecutive complete posterior uterine rupture. A case report.

BACKGROUND
Management of pregnancy in a woman who has had a ruptured uterus on more than one occasion presents a great clinical and ethical challenge to the obstetrician.


CASE
This appears to be the first report on complete uterine ruptures in three consecutive pregnancies.


CONCLUSION
Prolonged hospital admission, intensive antenatal surveillance, antenatal steroid administration and elective premature delivery may give the best chance for a good outcome in these pregnancies. However, despite all these efforts, there is still a high risk of an unfavorable outcome.