Rupture of uterus and bladder in vaginal delivery following: previous caesarean section

A cse of ruptured uterus and bladder in the fifth pregnancy with a previous uterine scar from the first pregnancy is presented. Though vvaginal delivery post-Caesarean section is accepted, no criteria as to the number of such births which should be allowed have been established. We recommend that not more than three such births be allowed. Some guidelines for management are suggested