Abstract
RATIONALE: Uterine rupture is a rare obstetric complication that can quickly and directly threaten the lives of mothers and babies. PATIENT CONCERNS: We report a case of a patient with 15w + 2d gestation scarred pregnancy requesting induction of labor, due to insufficient preoperative evaluation and increased dose of intraoperative induction medication, uterine rupture occurred due to tonicity of uterine contractions. DIAGNOSES: Uterine rupture due to mid-pregnancy induction of labor in a patient with scarred pregnancy. INTERVENTIONS: The patient underwent surgical treatment, removal of the embryo and uterine suturing. OUTCOMES: The patient recovered well and was discharged. Follow up visit to our hospital for review, uterus recovered well. LESSONS: We should improve the preoperative evaluation of patients with scarred pregnancy, comprehensively consider the choice of induction method, the control of medication dosage, strengthen the intraoperative monitoring of high-risk patients, and deal with problems in a timely manner in an effort to minimize the risk of uterine rupture and harm.