A case of childbirth complicated by rupture of the uterus and tumor in the small pelvis, with sequential Porro operation

The patient, admitted in childbirth to the Elizavetgrad hospital on September 16, was healthy before her marriage, menstruated correctly after 4 weeks; she married at 18, and gave birth to a dead child in her second year. The second birth a year later ended with perforation due to narrowing of the outlet. After this birth she was ill; was treated, but unsuccessfully, for a tumor, and in view of the danger she was advised to beware of pregnancy. A year later, she became pregnant again and on time, September 15, labor began; the waters disappeared soon, the pain intensified, there was a breakdown, nausea and vomiting. Objectively: the subject is strong, the pelvis is correct, weak activity of the heart and pulse, t ° is normal, nausea and vomiting, constipation, bloating and pain in the lower abdomen, a sharp protrusion of the abdomen with the designation of the fetal position, fetal heartbeat is not audible, from the sleeve ichor with a smell.