Background: Uterine rupture achieves a solution of continuity of the thickness of the wall of the womb. It can be spontaneous or provoked. It can occur during work (most often) or during pregnancy. In all cases, although this occurs in the third trimester of pregnancy, uterine rupture can also occur before this period of gestation, the second trimester of pregnancy. Case: A 29-year-old woman, gesture 8, par 8, with a history of in utero death and uterine incision presented a hemoperitoneum picture of a 26-year-old pregnancy. She consulted 8 hours after the sudden onset of severe abdominal pain and metrorrhagia. Uterine rupture was observed during laparotomy, and adequate maternal management was performed. Conclusion: The occurrence of uterine rupture should be suspected before any hemoperitoneum, hemodynamic instability or metrorrhagia, even before the third trimester of pregnancy. Early diagnosis could improve the fetal-maternal prognosis.

Introduction: In utero death is one of the most common situations in obstetrical practice and is often poorly tolerated by pregnant and nursing staff. The objectives of this study were to determine its frequency and to identify the risk factors at the North Kivu Provincial Hospital in Goma. Methods: This was a cross-sectional and descriptive case-control study that determined the frequency of death in utero and identified risk factors. For this study period, 55 in utero deaths were recorded out of a total of 1218 deliveries. For risk factor research, the match ratio was 2 controls with live birth for a case of death in utero. Results: The frequency of death in utero at the North Kivu Provincial Hospital in Goma was 4.5%. After adjustment, celibacy (p = 0.004, 95% OR = 4.67), parity greater than 3 (p = 0.021, 95% OR = 2.45), CPN deficiency (p = 0.000, 95% OR = 6.23), the history of in utero death (p = 0.000, 95% OR = 16.71), and morbid diseases were identified as factors associated with the risk of onset of death. utero. Conclusion: The frequency of death in utero was 4.5%. Among the factors studied, the risk of death in utero in our environment is associated with celibacy, multiparity, lack of ANC, history of MIU and morbid maternal diseases.