Uterine rupture after previous caesarean section with hysterotomy above the lower uterine segment

BACKGROUND AND AIM: Spontaneous uterine rupture represent a severe obstetrics emergency. Numerous risk factors have been reported, particularly for patients with a previous caesarean section. METHODS: We described two cases of uterine rupture (UR) arising outside of labour in women with a history of caesarean section (CS) due to placenta previa. RESULT: The present report assesses how a higher hysterotomy, together with specific risk factors, could increase the incidence of UR in the following pregnancy. CONCLUSIONS: our experience demonstrated that an attentive assessment of risk factors could detect women who need a particular follow up to early identify and treat UR since it could improve the maternal-fetal outcome. (www.actabiomedica.it)