[Spontaneous intrauterine rupture of the umbilical cord is very uncommon but a serious condition].

Spontaneous intrauterine rupture of the umbilical cord is an uncommon and dangerous complication during delivery. We describe a case of a 27-year-old woman with a normal pregnancy. When the membranes broke, the fetal heart sounds suddenly disappeared, and the vaginal bleeding was heavier than normal.

Changed indications for cesarean sections.

Objective: The aim of this study was to investigate the indications for cesarean sections in the early 1990s as compared to the middle 2000s.

Design: Retrospective cohort study.

Methods: Data were collected from original obstetrical records in a tertiary hospital in 1992 and 2005.