Uterine Rupture-Uterine Scar Dehiscence-A Complication of Labour

Uterine Rupture:

Uterine Rupture during pregnancy and labor is a rare occurrence that frequently results in life-threatening maternal and fetal compromise whereas uterine scar dehiscence is a more common event that seldom results in maternal or fetal complications.

Uterine Scar Dehiscence:

By definition uterine scar dehiscence constitute a separation of a pre-existing uterine scar without disruption of overlying visceral peritoneum and doesn’t bleed significantly from the edges. In addition, the fetus, placenta and umbilical cord must be present inside the uterine cavity.

Signs and Symptoms:

Continuous abdominal pain.
Vaginal bleeding
Uterine contraction ceases
Fetal heart rate (FHR) becomes abnormal.

Management of Uterine Rupture:

If the uterine rupture is suspected, laparotomy should be done as soon as possible.

see also:

Uterine inversion

Primary post partum hemorrhage.

Complications Of Third Stage of labour

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