Uterine Rupture Due to Arrest of After Coming Head: An Autopsy Case Report

Maternal death is an important health as well as social problem. The Government of India has launched schemes to reduce the maternal mortality by increasing awareness in people and many other measures. Obstructed labour is one of the major causes for maternal mortality in our country. It is a condition when presenting part of foetus cannot progress into birth canal in spite of strong uterine contractions. The most common cause of obstructed labour is cephalo-pelvic disproportion.

Here we present a case of 30 year old female brought dead to Dr Shankarrao Chavan Government Medical College, Nanded with history of obstructed labour and arrest of after coming head in breech presentation. On autopsy, external examination showed trunk & limbs of foetus suspended outside the external genitals and head inside the pelvis. On internal examination, uterus was found ruptured and severe pallor of internal organs was evident. The reason for obstruction to the delivery of head was found to be hydrocephalous with congenital malformation of brain.