Uterine rupture Flashcards
1
Q
What is the main cause of uterine rupture?
A
dehiscence (splitting open) of CS scars
2
Q
Which type of CS is rupture less likely
A
LSCS
3
Q
What are the sx of uterine rupture?
A
maternal shock, abdominal pain and vaginal bleeding to varying degree
4
Q
What are the indicators of rupture postpartum
A
continuous PPH w a well contracted uterus
If bleeding continues postpartum after vaginal repair
whenever shock is present
5
Q
What T of PPH does rupture come under?
A
trauma
6
Q
What is the management of uterine rupture suspected IN labour?
A
category 1 CS
explore uterus
7
Q
What is the management of uterine rupture postpartum
A
transfusion
hysterectomy if cervix or vagina involved in tear
post op abx - cefuroxime and metronidazole
