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Y4R2 - Obstetrics I 🤰 > L11: Maternal Obstetric Injuries (Rupture Uterus) > Flashcards

L11: Maternal Obstetric Injuries (Rupture Uterus) Flashcards

1
Q

Def of Rupture Uterus

A

Loss of continuity of uterine wall not done by surgery.

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2
Q

Incidence of Rupture Uterus

A
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3
Q

Incidence of Rupture Uterus

  • More common in?
A
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4
Q

Etiology of Rupture Uterus

A
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5
Q

Etiology of Rupture Uterus

  • Main Cause
A

previous CS scar

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6
Q

Etiology of Rupture Uterus

  • During Pregancy (Spontaneous)
A
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7
Q

Etiology of Rupture Uterus

  • During Pregnancy (Traumatic)
A

Traumatic: Rare.
1) ECV.
2) External trauma to abdomen: falls, kicks, car accidents or stab wounds.

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8
Q

Etiology of Rupture Uterus

  • During labor (Spontaneous)
A

Spontaneous: More common.

1) Obstructed labor.

2) Rupture of uterine scar.

3) Grand multiparity: d2 degeneration & weakness of uterine muscles.

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9
Q

Etiology of Rupture Uterus

  • During Labor (Traumatic)
A
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10
Q

Etiology of Rupture Uterus

  • During Labor (Improper use of oxytocin or PGs)
A

….

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11
Q

Types of Rupture Uterus

A
  1. Incomplete: 20% Rupture doesn’t involve peritoneum
  2. Complete: 80% Rupture involves all layers of uterus even peritoneum
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12
Q

Sites of Rupture Uterus

A
  • UUS rupture: Mostly complete & occurs during pregnancy or early in labor
  • LUS rupture: May be incomplete or complete & usually occurs during labor
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13
Q

Type of Rupture in Rupture of uterine scar

A
  • incomplete (dehiscence) or complete
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14
Q

Rupture of uterine scar

  • Site
A
  • At site of the scar
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15
Q

Rupture of uterine scar

  • Shape
A
  • Shape of the scar
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16
Q

Rupture of uterine scar

  • Predisposing factors
A
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17
Q

Rupture uterus due to obstructed labor

  • Type
A

Complete

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18
Q

Rupture uterus due to obstructed labor

  • Site
A

Involves LUS but may extend upwards into UUS or downwards into cervix.

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19
Q

Rupture uterus due to obstructed labor

  • Mechanism
A

See obstructed labor

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20
Q

Rupture uterus due to obstructed labor

  • Shape
A

Oblique

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21
Q

Complications of Rupture Uterus

A
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22
Q

Complications of Rupture Uterus

  • Maternal
A
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23
Q

Complications of Rupture Uterus

  • fetal
A
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24
Q

CP of Rupture Uterus

A
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25
CP of **Rupture Uterus** - Spontaneous rupture during pregnancy
26
CP of **Rupture Uterus** - Spontaneous rupture during pregnancy (Impending rupture)
a. Lower abdominal pain b. tenderness over scar c. vaginal spotting.
27
CP of **Rupture Uterus** - Spontaneous rupture during pregnancy (Actual Rupture)
28
Symptoms of **Spontaneous actual rupture uterus during pregnancy**
29
Signs of **Spontaneous actual rupture uterus during pregnancy**
30
Signs of **Spontaneous actual rupture uterus during pregnancy** - General
Signs of hypovolemic shock.
31
Signs of **Spontaneous actual rupture uterus during pregnancy** - Abdominal
32
Signs of **Spontaneous actual rupture uterus during pregnancy** - Vaginal
a- Vaginal bleeding may be present. b- Presenting part is high.
33
CP of **Spontaneous rupture during labor**
34
CP of **Spontaneous rupture during labor** - Impending Rupture
C/P of obstructed labor.
35
CP of **Spontaneous rupture during labor** - Actual Rupture
36
CP of **Spontaneous Actual rupture during labor** - Symptoms
- Sudden severe abdominal pain at site of rupture + collapse. - Cessation of uterine contractions. - Feeling of something giving away. - Vaginal bleeding may be present.
37
CP of **Spontaneous Actual rupture during labor** - Signs
38
CP of **Spontaneous Actual rupture during labor** - Genral Signs
Signs of hypovolemic shock
39
CP of **Spontaneous Actual rupture during labor** - Abdominal Signs
As before but inaudible FHS is the commonest presentation.
40
CP of **Spontaneous Actual rupture during labor** - Vaginal Signs
41
CP of **Traumatic Actual rupture during labor**
42
Clinical Types of **Rupture Uterus**
43
Clinical Types of **Rupture Uterus** - silent Rupture
44
Clinical Types of **Rupture Uterus** - Overt Rupture
è or èout shock.
45
DDx of **Rupture Uterus**
1. Advanced abdominal pregnancy. 2. Concealed accidental Hge. 3. Other causes of PPH. 4. Other causes of intraperitoneal Hge (as rupture spleen).
46
Prevention of **Rupture Uterus**
47
TTT of **Rupture Uterus**
48
TTT of **Rupture Uterus** - 1st Aid
...
49
TTT of **Rupture Uterus** - Vaginal delivery?
No, Because it ↑↑ Hge, shock & extent of tear.
50
TTT of **Rupture Uterus** - Laparotomy
51
TTT of **Rupture Uterus** - Vaginal Repair
if there is extension of cervical tear to LUS è accessible upper end of tear.
52
Etiology of **Perineal Tear**
53
Degrees of **Perineal Tear**
54
Degrees of **Perineal Tear** - 1st
55
Degrees of **Perineal Tear** - 2nd
56
Degrees of **Perineal Tear** - 3rd
57
Degrees of **Perineal Tear** - 4th
58
Complications of **Perineal Tear** - Early
59
Complications of **Perineal Tear** - Late
60
Prevention of **Perineal Tear**
61
TTT of **Perineal Tear**
62
TTT of **Perineal Tear** - Time
63
TTT of **Perineal Tear** - Anasethia
64
TTT of **Perineal Tear** - Technique
65
TTT of **Perineal Tear** - AfterCare
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Y4R2 - Obstetrics I 🤰 (59 decks)

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