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Key Clinical Message  Spontaneous delivery through a cervical tear, provoked by prostaglandin‐induced uterine contractions, was described in a G2P0 woman with a history of cervical dilatation and uterine curettage. This rare complication with potentially serious maternal–fetal consequences can be predicted by an aberrant cervical response to prostaglandins in parturients with previous cervical interventions.

Spontaneous delivery through a cervical tear without cervical os dilatation