Abstract
A case of spontaneous rupture of a splenic artery aneurysm during labour and postpartum is described, with successful outcome of both mother and baby. This brings the total number of published cases with both maternal and fetal survival to 13. On reviewing the literature, it is demonstrated that, contrary to previous reviews, the mortality rate has declined substantially for both mother and fetus from 81% to 16% and 84% to 32% respectively.