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OB / GYN > 12) Maternal Birth Trauma; Birth Canal Trauma; Uterine Rupture - Types, CFs, Dx, Tx > Flashcards

12) Maternal Birth Trauma; Birth Canal Trauma; Uterine Rupture - Types, CFs, Dx, Tx Flashcards

1
Q

What is the Definition of “Uterine Rupture”?

A
  • It’s the full-thickness disruption of MYOMETRIUM + overlying SEROSA
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2
Q

What are the Causes of Uterine Rupture?

A
  • Uterine Distension
  • Foetal Macrosomia
  • Multiple Gestation
  • Delayed Labor, from Foetal Malposition
  • Uterine Scar - From C-Section, Myomectomy
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3
Q

What are the Types of Uterine Rupture?

A

1) COMPLETE

  • Separation of all layers of uterine wall, incl serosa
  • There’s a tear in peritoneum
  • Leading to intraperitoneal + vaginal hemorrhage

2) INCOMPLETE (Uterine Dehiscence)

  • Partial Separation of Uterine Scar
  • Extends thru endometrium + myometrium ONLY
  • INTACT Peritoneum
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4
Q

What are the Clinical Features of Uterine Rupture?

A
  • abdominal pain between contractions
  • vaginal bleeding
  • sudden pause in contractions
  • fetal distress
  • Palpable foetal parts thru rupture
  • hypovolemic shock
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5
Q

How is UR Diagnosed and Treated?

A
  • Emergency C-Section
  • Hysterectomy
  • Hemodynamic Support
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OB / GYN (39 decks)

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