Timely intervention by the doctors at Sassoon general hospital has helped a 20-year-old woman to save the life of her newly born baby. A full term pregnant Rupali Gaikwad had developed a 10 centimeter tear in the backside (rear) of her uterine wall when she underwent labour. This condition might have been fatal for Rupali and her yet to be born baby, had the doctors not intervened in a timely fashion.
Rupali’s heart showed some distress when doctors at Sassoon hospital examined her when she came with a complaint of chest pain. Doctors, first tried to deliver her child vaginally, but when that seemed to be a difficult option, she was taken for a cesarean delivery.
During the C-section delivery, the doctors observed more reddish appearing blood around the uterus. The doctor’s observation revealed that her uterus was ruptured from behind. After the baby was delivered the ten centimeter tear on the backside of her uterus was then stitched by the doctor, thereby saving Rupali’s uterus.
Doctors informed that it is difficult to recognise a uterine rupture when it happens behind the uterine wall. Also, had there been a delay of a few minutes in carrying out the delivery, the baby would not have survived.
Ruptures can be life threatening to the baby. “Once the uterus is ruptured the amniotic fluid around the baby escapes which then leads baby to suffocate. If the baby comes out of uterus, the supply of food and oxygen stops to the baby, which then becomes life threatening for baby. Had there been a little delay in taking her for C-Section delivery it might had become fatal for baby,” said Dr Ramesh Bhosale, Head of the Gynecology Department of Sassoon’s BJ Medical College, who was leading the team for the operation.
In medical language, when the back side of the uterus is ruptured it is called as ‘posterior uterine rupture’ whose incidence is around 0.1 per cent. Uterus rupturing from back side is rarer than compared to uterus rupture either from sideways or from font.
Rupali has delivered a baby girl. Doctors at the hospital have stitched her uterus and now she can plan C-Section delivery in future if she wishes so. “I feel blessed with my baby girl. I wanted a girl. Though the doctors have stitched my uterus, I do not wish to deliver another child after going through this ordeal for the first time,” said Rupali with a sigh of relief on her face.
There are many causes behind uterine rupture. Scar developed during surgery, heavy weight of the baby and some weakness in the uterus by birth are some of the prominent causes for it. “The cause behind the rupture in her is still not clear, as different things might have led it to happening,” said Savita Kambale, associate professor at Sassoon’s BJ Medical college who was part of the team.