[Scar uterine rupture after 6 pregnancies with cerclage]

The scar uterine rupture is the most common reason for uterine rupture, because of the increased frequency of the myomectomia, cesarean sections and others. We present a case of a scar rupture in multiparous woman with seventh pregnancy, six of them with cerclage. The numerous cerclages has caused changes (lacerations) in the cervix, which made necessary each next cerclage to be placed higher and probably in the uterine isthmus. In our case the rupture started in the lower uterine segment and is combined with rupture of the bladder, which is the most common complication of the uterine rupture. We conclude that in cases with several cerclages the status of the uterus and the cervix should be evaluated very carefully and the way of delivery should be discussed.