Clinically significant trauma to the cervix is seen in 0.2 – 1.7% of vaginal deliveries.⁽¹⁾ The risk factors associated with bucket handle tear are prolonged labour, scarred cervix, prostaglandin instillation, instrumental delivery and cervical encirclage.^(2,3)

CASE:

Our case is that of a 21 year old primigravida who presented with prelabour rupture of membranes at 39 weeks gestation. She had a bucket handle tear of the posterior cervix during labour in the absence of any risk factors.

The patient was taken for an emergency cesarean section and delivered a healthy male infant following which the tear was sutured.

CONCLUSION:

Bucket handle cervical tear though rare in modern obstetrics is still a potential life threatening occurrence for the mother and child even in low risk patients. Untoward consequences can be averted with a high index of suspicion.