Snapshot A 27-year-old G2P1 presents at 40 weeks gestation in labor. Her last pregnancy was delivered by cesarean section. This time, she opted for at-home natural delivery. Two hours into labor, she felt her contractions abruptly stop. She subsequently developed vaginal bleeding and acute abdominal pain. She was rushed to the nearest emergency room, where a fetal monitor showed bradycardia. An emergent surgical and anesthesia team was paged and she was prepped for emergent laparotomy and delivery for suspected uterine rupture. Introduction Overview login to view 7 more bullets Epidemiology Incidence login to view 1 more bullet Risk factors login to view 8 more bullets ETIOLOGY Pathogenesis login to view 5 more bullets Presentation Symptoms login to view 8 more bullets Physical exam login to view 5 more bullets Studies Diagnostic approach login to view 1 more bullet Serum labs login to view 2 more bullets Differential Uterine scar dehiscence login to view 3 more bullets Other causes of third trimester bleeding login to view 3 more bullets Treatment Lifestyle login to view 4 more bullets Surgical login to view 8 more bullets Complications Fetal complications login to view 2 more bullets Maternal complications login to view 3 more bullets Prognosis Worse when uterine tear is longitudinal