[3] Symptoms, while classically including increased pain, vaginal bleeding, or a change in contractions, are not always present.
[6] Rates of uterine rupture during vaginal birth following one previous C-section, done by the typical technique, are estimated at 0.9%.
In 2006, an extremely rare case of uterine rupture in a first pregnancy with no risk factors was reported.
[9] Uterine rupture during pregnancy without a prior cesarean section is one of the major diagnostic criterion for vascular Ehlers-Danlos syndrome (vEDS).
Emergency exploratory laparotomy with cesarean delivery accompanied by fluid and blood transfusion are indicated for the management of uterine rupture.
Depending on the nature of the rupture and the condition of the patient, the uterus may be either repaired or removed (cesarean hysterectomy).