As pregnancy advances, the uterus becomes larger and thinner to accommodate fetal growth. This structural change makes the uterine wall more vulnerable to injury, particularly during late abortion or labor-like uterine contractions.
Uterine rupture in late abortion is still uncommon, but it occurs more frequently than in early pregnancy, especially when risk factors are present.
Risk Factors for Uterine Rupture in Late Abortion
1. Previous Caesarean Section or Uterine Surgery
Women with a history of caesarean section, fibroid removal (myomectomy), or other uterine surgeries have scar tissue that may weaken the uterine wall.
2. Advanced Gestational Age
The later the pregnancy, the greater the stress on the uterus, increasing susceptibility to rupture.
3. Unsafe or Unregulated Abortion Practices
Procedures performed outside medical facilities, by unqualified individuals, or without appropriate monitoring significantly raise the risk of severe complications.
4. Excessive or Improper Use of Medications
Incorrect use of medications that stimulate uterine contractions, particularly without medical supervision, may increase uterine stress and injury.
5. Obstructed Labour or Undiagnosed Uterine Conditions
Certain uterine abnormalities or prolonged, unmonitored contractions can increase the likelihood of rupture.
Warning Signs That Require Immediate Medical Care
Seek urgent medical attention if any of the following occur during or after a late abortion:
- Sudden, severe abdominal pain
- Heavy vaginal bleeding
- Rapid heartbeat or fainting
- Sudden loss of contractions
- Fever or signs of infection
- Severe weakness or collapse
Prompt treatment can be life-saving and reduce long-term complications.
Why Medical Supervision Is Critical
Late abortion requires skilled medical assessment, monitoring, and emergency preparedness. Most cases of uterine rupture are associated with inadequate or unsafe care.
Medical supervision ensures:
- Proper evaluation of individual risk factors
- Safe, evidence-based management
- Immediate response to complications
- Access to emergency surgical care if needed
Reducing the Risk of Complications
Women can reduce risks by:
- Seeking care from trained, licensed healthcare professionals
- Avoiding unsafe or unregulated procedures
- Disclosing previous surgeries or medical conditions
- Attending follow-up care after pregnancy-related procedures
Conclusion
Uterine rupture in late abortion is rare but serious. The risk increases with advancing pregnancy and underlying medical factors, making professional medical care essential.
Accurate information, early consultation, and medically supervised care play a vital role in protecting women’s health, safety, and future fertility.
