Ruptured uterus is an obstetric calamity attended with high perinatal mortality and maternal morbidity and mortality.

One usually blames the birth attendants or dais of remote areas for mismanagement as they failed to recognize labour problem and referred the case rather late. In the past, it would typically occur in non-supervised pregnancies and unsupervised labour with the delay in transportation to referral centres. For these reasons, it has been more common in developing countries and not unusual in the emergency obstetric rooms.

However, these time-old factors have been addressed, and the situation has changed. It is a cause for great concern when it happens in the labour wards of tertiary care centres due to the inadvertent and injudicious use of inducing agents and due to unduly prolonged trial of labour in cases with previous caesarean sections. Inappropriate selection of cases of previous caesarean sections for the trial of labour is an important concern in developing countries. The primary caesarean sections are performed in district hospitals or practitioners under various situations leading to an unrealized integrally weak scar getting tested during labour in the subsequent pregnancy.