Uterine Rupture: Symptoms, Causes, Management, and Prevention

Uterine Rupture: Symptoms, Causes, Management, and Prevention

Uterine rupture is a serious obstetric complication that can occur during pregnancy or labor, posing a danger to both mother and baby. This article will provide information on the symptoms, causes, management, and prevention of uterine rupture.

I. Symptoms:

• Subperitoneal Uterine Rupture:

• Signs of impending uterine rupture.

• No change in the shape of the uterus.

• Hypogastric pain and a clear pain point.

• The fetus can be felt in the abdomen.

• Complete Uterine Rupture:

• The fetal parts can be palpated loosely under the abdominal skin.

• Uterine Rupture at the Site of a Previous Cesarean Section:

• Sudden pain at the incision site.

• Bright red vaginal bleeding.

• General signs of shock.

II. Causes:

• During Labor:

• Transverse presentation.

• Cephalopelvic disproportion.

• Uterine malformations.

• Disproportion between the pelvic structure and the fetal presentation.

• Strong uterine contractions.

• Low transverse cesarean section scar.

• Cesarean section scar in the body of the uterus.

• Scar from myomectomy for a submucosal polyp.

• During Pregnancy:

• History of cesarean section.

• Uterine didelphys.

III. Management:

• Resuscitation for shock.

• Emergency surgery to repair the tear and control bleeding.

IV. Prevention:

• Close monitoring of labor at all stages.

• Cesarean delivery should be indicated and closely monitored.

• Avoid prolonged labor.

• Early detection and investigation of the causes of difficult labor.

• Early detection and timely management of impending uterine rupture.

V. Points to Note:

• Uterine rupture can cause significant bleeding, which can be life-threatening.

• The symptoms of uterine rupture can be similar to those of other obstetric complications.

• Diagnosis of uterine rupture should be made by a qualified medical professional.

• Pregnant women should have their pregnancy closely monitored to prevent uterine rupture.

• Women with a history of cesarean section should be carefully monitored during pregnancy and labor.

Note: This article is for informational purposes only and is not a substitute for professional medical advice.