Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Incidence of Rupture Uterus

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Incidence of Rupture Uterus

  • More common in?
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Etiology of Rupture Uterus

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Etiology of Rupture Uterus

  • Main Cause
A

previous CS scar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Etiology of Rupture Uterus

  • During Pregancy (Spontaneous)
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Etiology of Rupture Uterus

  • During Labor (Traumatic)
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Etiology of Rupture Uterus

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

….

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Type of Rupture in Rupture of uterine scar

A
  • incomplete (dehiscence) or complete
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Rupture of uterine scar

  • Site
A
  • At site of the scar
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Rupture of uterine scar

  • Shape
A
  • Shape of the scar
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Rupture of uterine scar

  • Predisposing factors
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Rupture uterus due to obstructed labor

  • Type
A

Complete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Rupture uterus due to obstructed labor

  • Site
A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Rupture uterus due to obstructed labor

  • Mechanism
A

See obstructed labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Rupture uterus due to obstructed labor

  • Shape
A

Oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Complications of Rupture Uterus

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Complications of Rupture Uterus

  • Maternal
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Complications of Rupture Uterus

  • fetal
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

CP of Rupture Uterus

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

CP of Rupture Uterus

  • Spontaneous rupture during pregnancy
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

CP of Rupture Uterus

  • Spontaneous rupture during pregnancy (Impending rupture)
A

a. Lower abdominal pain
b. tenderness over scar
c. vaginal spotting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

CP of Rupture Uterus

  • Spontaneous rupture during pregnancy (Actual Rupture)
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Symptoms of Spontaneous actual rupture uterus during pregnancy

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Signs of Spontaneous actual rupture uterus during pregnancy

30
Q

Signs of Spontaneous actual rupture uterus during pregnancy

  • General
A

Signs of hypovolemic shock.

31
Q

Signs of Spontaneous actual rupture uterus during pregnancy

  • Abdominal
32
Q

Signs of Spontaneous actual rupture uterus during pregnancy

  • Vaginal
A

a- Vaginal bleeding may be present.
b- Presenting part is high.

33
Q

CP of Spontaneous rupture during labor

34
Q

CP of Spontaneous rupture during labor

  • Impending Rupture
A

C/P of obstructed labor.

35
Q

CP of Spontaneous rupture during labor

  • Actual Rupture
36
Q

CP of Spontaneous Actual rupture during labor

  • Symptoms
A
  • Sudden severe abdominal pain at site of rupture +
    collapse.
  • Cessation of uterine contractions.
  • Feeling of something giving away.
  • Vaginal bleeding may be present.
37
Q

CP of Spontaneous Actual rupture during labor
- Signs

38
Q

CP of Spontaneous Actual rupture during labor

  • Genral Signs
A

Signs of hypovolemic shock

39
Q

CP of Spontaneous Actual rupture during labor

  • Abdominal Signs
A

As before but inaudible FHS is the commonest presentation.

40
Q

CP of Spontaneous Actual rupture during labor

  • Vaginal Signs
41
Q

CP of Traumatic Actual rupture during labor

42
Q

Clinical Types of Rupture Uterus

43
Q

Clinical Types of Rupture Uterus

  • silent Rupture
44
Q

Clinical Types of Rupture Uterus

  • Overt Rupture
A

è or èout shock.

45
Q

DDx of Rupture Uterus

A
  1. Advanced abdominal pregnancy.
  2. Concealed accidental Hge.
  3. Other causes of PPH.
  4. Other causes of intraperitoneal Hge (as rupture spleen).
46
Q

Prevention of Rupture Uterus

47
Q

TTT of Rupture Uterus

48
Q

TTT of Rupture Uterus

  • 1st Aid
49
Q

TTT of Rupture Uterus

  • Vaginal delivery?
A

No, Because it ↑↑ Hge, shock & extent of tear.

50
Q

TTT of Rupture Uterus

  • Laparotomy
51
Q

TTT of Rupture Uterus

  • Vaginal Repair
A

if there is extension of cervical tear to LUS è accessible upper end of tear.

52
Q

Etiology of Perineal Tear

53
Q

Degrees of Perineal Tear

54
Q

Degrees of Perineal Tear

  • 1st
55
Q

Degrees of Perineal Tear

  • 2nd
56
Q

Degrees of Perineal Tear

  • 3rd
57
Q

Degrees of Perineal Tear

  • 4th
58
Q

Complications of Perineal Tear

  • Early
59
Q

Complications of Perineal Tear

  • Late
60
Q

Prevention of Perineal Tear

61
Q

TTT of Perineal Tear

62
Q

TTT of Perineal Tear

  • Time
63
Q

TTT of Perineal Tear

  • Anasethia
64
Q

TTT of Perineal Tear

  • Technique
65
Q

TTT of Perineal Tear

  • AfterCare

Y4R2 - Obstetrics I 🤰 (59 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions