Introduction
Uterine rupture in pregnancy is rare but has the potential to be critical for both the mother and fetus.1 Uterine rupture could lead to intraabdominal bleeding, disseminated intravascular coagulation (DIC), shock and cardiac arrest, which could result in maternal death. Cardiac arrest in pregnancy is also rare, and it is essential to initiate cardiopulmonary resuscitation (CPR), identify the cause of cardiac arrest and treat its cause as soon as possible to achieve a favorable outcome.2 Perimortem cesarean delivery (PMCD) is a rarely performed procedure for patients after experiencing cardiac arrest during CPR.
Cesarean section, which is usually performed by low transverse uterine incision, is well known as a risk factor for uterine rupture.3 A transverse uterine fundal incision is applied for patients with placenta previa to reduce blood loss.4 There are few reports of uterine rupture in pregnant women with previous cesarean section by transverse uterine fundal incision.5,6 In the present case report, we describe a case of uterine rupture in a pregnant women with previous cesarean section by transverse uterine fundal incision who had recovered from cardiac arrest by CPR and PMCD and survived by multidisciplinary management. We also reviewed cases of uterine rupture in pregnant women who underwent previous cesarean section by transverse uterine fundal incision.