Uterine Rupture Flashcards
Define uterine rupture
Full-thickness disruption of the uterine muscle and overlying serosa
It typically occurs during labour, and can extend to affect the bladder or broad ligament
What are the types of uterine rupture
Incomplete – where the peritoneum overlying the uterus is intact. In this case, the uterine contents remain within the uterus.
Complete – the peritoneum is also torn, and the uterine contents can escape into the peritoneal cavity.
What are the risk factors for uterine rupture
Previous CS
Previous uterine surgery
Induction
Obstruction of labour
Multiple pregnancy
Multiparity
What are the signs and symptoms of uterine rupture?
Sudden severe abdo pain which persists between contractions
Shoulder tip pain
Vaginal bleeding
Regression of presenting part
Palpable fetal parts
Haemorrhage = hypotension, tachycardia
How should uterine rupture be investigated?
Cardiotocography
USS
How is uterine rupture best managed?
A-E
CS
Surgical repair or removal of the uterus
