15 - Obs - Obs Emergencies - Uterine Rupture

Question 1

Uterus can tear de novo or ? ? opens. Fetus extruded, uterus contracts ? and ? from rupture site -> acute fetal ? and massive internal ? ?. Rupture of ? ? c sec scar usually less serious than 1’ rupture or from ? c sec – lower segment not v ? and ?
blood loss and ? of fetus less likely.

Answer 1

old scar
down
bleeds
hypoxia
maternal haemorrhage
lower transverse
classic
vascular
heavy
extrusion

Question 2

Neonatal mort ?%. 1/1500 pregs, 0.7% women who attempt ???? after single ????. Diagnosed by ??? abnorm or constant ? ? pain, ?? bleed, cessation of ? and maternal ?.

Answer 2

10%
VBAC
LSCS
FHR
lower abdo
PV
contractions
collapse

Question 3

Risk Factors and Prevention

1’ RFs: labours w ? uterus: ? c sec or deep ? incr risk than LSCS. Rupture ? labour rare. ? uterine abnorm can cause.

Preventative measures: avoid ? and caution when using ? if VBAC, and elective c sec in women w ? ? ? uterine scar.

Answer 3

scarred
classical
myomectomy
before
congen

induction
oxytocin
non lower segment

Question 4

Management
Maternal ? w IV ? and blood. Blood taken for ?, ? and cross-match. Blood loss may be ? than can replace, and urgent ? for deliv of fetus and cessation of ?, by ?/? of uterus. Early c sec for ? pregs.

Answer 4

resus
fluid
clotting
Hb
faster
laparotomy
bleeding
repair/removal
subsequent