Rupture of an unscarred uterus?

[2curlygirls]

We had a uterine rupture this morning. Baby was severely compromised and mom ended up in ICU. Mom was a multip with a previous NSVD. It was a post-dates induction.

I know uterine ruptures are pretty rare but can someone give me some insight here? How often does this happen?

[beachyfe]

I saw it twice in 16 years of doing L&D. Very scary.

[beachyfe]

Unfortunately, cytotec has been known to cause ruptures in women without a previous uterine surgery.

Cytotec was used on many VBAC patients in the 90s which caused a lot of UR and therefore made VBAC a "bad" choice. Instead of blaming the cyctotec, the VBAC attempt was blamed.

I hated using Cytotec. It usually caused ctx to be too strong and, unlike Pit, you couldn't decrease it. I found it to be very unpredictable - worked fine for some, but slammed others. Plus, it's so hard to insert. It always wanted to stick to the glove and not stay where I was placing it.