Intrapartum Care - Uterine Rupture

Question 1

What is Uterine Rupture?

Answer 1

Myometrial rupture - muscle layer of the uterus.

Question 2

Complete vs. Incomplete Uterine Rupture.

Answer 2

1. Complete : Serosa Ruptures with Myometrium and Contents are released into Peritoneum.
2. Incomplete : Perimetrium remains intact.

Question 3

Main Risk Factor of Uterine Rupture.

Answer 3

Previous C-Section : point of weakness and may rupture with excessive pressure.

Question 4

Clinical Presentation of Uterine Rupture (5).

Answer 4

1. Significant bleeding - foetus can be released into the peritoneal cavity.
2. Abnormal CTG.
3. Abdominal Pain.
4. Ceasing of Uterine Contractions.

Question 5

Management of Uterine Rupture (2).

Answer 5

1. Resuscitation and Transfusion.

2. Emergency C-Section.