Uterine rupture Flashcards
1
Q
Definition of uterine rupture
A
Myometrium tears open during contractions
2
Q
Two types of uterine rupture
A
- Uterine scar dehiscence
2. Uterine complete rupture
3
Q
Uterine scar dehiscence
A
- Seperation or gaping of existing scar gradually over time as uterus grows
- Peritoneum intact
4
Q
Uterine complete rupture
A
- Large acute tear
- Peritoneum opens and baby spill out intra abdominally
- Intra abdominal haemorrhage
5
Q
Risk factors
A
Previous C section
Previous induction of labour
Previous uterine surgery
6
Q
Signs of intr abdominal haemorrhage
A
- Matenal tachycardia/hypotension
2. Foetal distress
7
Q
Tx
A
Closure of rupture/Hysterectomy
