Increased pain, vaginal bleeding, change in contractions[1][2]
Usual onset
During labor[3]
Risk factors
Vaginal birth after cesarean section, other uterine scars, obstructed labor, induction of labor, trauma, cocaine use[1][4]
Diagnostic method
Supported by a rapid drop in the baby's heart rate[1]
Treatment
Surgery[1]
Prognosis
0.1%-10% risk of maternal death,[5] 6% risk of infant death[1]
Frequency
1 in 12,000 vaginal deliveries with a normal uterus[1] 1 in 280 with vaginal birth after cesarean section[1]
Transeverse uterine rupture
Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth.[3] Symptoms, while classically including increased pain, vaginal bleeding, or a change in contractions, are not always present.[1][2] Disability or death of the mother or baby may result.[1][3]
Risk factors include vaginal birth after cesarean section (VBAC), other uterine scars, obstructed labor, induction of labor, trauma, and cocaine use.[1][4] While typically rupture occurs during labor it may occasionally happen earlier in pregnancy.[3][1] Diagnosis may be suspected based on a rapid drop in the baby's heart rate during labor.[1][4] Uterine dehiscence is a less severe condition in which there is only incomplete separation of the old scar.[1]
Treatment involves rapid surgery to control bleeding and delivery of the baby.[1] A hysterectomy may be required to control the bleeding.[1] Blood transfusions may be given to replace blood loss.[1] Women who have had a prior rupture are generally recommended to have C-sections in subsequent pregnancies.[6]
Rates of uterine rupture during vaginal birth following one previous C-section, done by the typical technique, are estimated at 0.9%.[1] Rates are greater among those who have had multiple prior C-sections or an atypical type of C-section.[1] In those who do have uterine scarring, the risk during a vaginal birth is about 1 per 12,000.[1] Risk of death of the baby is about 6%.[1] Those in the developing world appear to be affected more often and have worse outcomes.[7][3]
^ abcdefghijklmnopqrstToppenberg, KS; Block WA, Jr (1 September 2002). "Uterine rupture: what family physicians need to know". American Family Physician. 66 (5): 823–8. PMID 12322775.
^ abLang, CT; Landon, MB (March 2010). "Uterine rupture as a source of obstetrical hemorrhage". Clinical Obstetrics and Gynecology. 53 (1): 237–51. doi:10.1097/GRF.0b013e3181cc4538. PMID 20142660.
^ abcdeMurphy, DJ (April 2006). "Uterine rupture". Current Opinion in Obstetrics & Gynecology. 18 (2): 135–40. doi:10.1097/01.gco.0000192989.45589.57. PMID 16601473. S2CID 23617249.
^ abcMirza, FG; Gaddipati, S (April 2009). "Obstetric emergencies". Seminars in Perinatology. 33 (2): 97–103. doi:10.1053/j.semperi.2009.01.003. PMID 19324238.
^Togioka, Brandon M.; Tonismae, Tiffany (June 27, 2022). "Uterine Rupture". StatPearls. PMID 32644635. Retrieved 5 March 2023.
^Larrea, NA; Metz, TD (January 2018). "Pregnancy After Uterine Rupture". Obstetrics and Gynecology. 131 (1): 135–137. doi:10.1097/AOG.0000000000002373. PMID 29215521.
Uterinerupture is when the muscular wall of the uterus tears during pregnancy or childbirth. Symptoms, while classically including increased pain, vaginal...
known that myomectomy surgery is associated with a higher risk of uterinerupture in later pregnancy. Thus, women who have had myomectomy (with the exception...
or planned abdominal delivery. There is a slightly higher risk for uterinerupture and perinatal death of the child with VBAC than ERCS, but the absolute...
Causes of heavy bleeding during labour include placental abruption and uterinerupture. Umbilical cord prolapse occurs when the umbilical cord comes out of...
as a thinning of uterine muscle at the incision site. These uterine scar defects are associated with increased risk of uterinerupture and scar separation...
It increases the risk of the mother getting an infection, having uterinerupture, or having post-partum bleeding. Long-term complications for the mother...
menopause. Uterinerupture ""You need not worry about long-term effects either. A uterine perforation presents no risk of uterinerupture during pregnancy...
more than two minutes in duration. Uterine hyperstimulation may result in fetal heart rate abnormalities, uterinerupture, or placental abruption. It is usually...
(obstructed labour, also known as dystocia) Fetal distress Cord prolapse Uterinerupture or an elevated risk thereof Uncontrolled hypertension, pre-eclampsia...
"Maternal and fetal outcomes of uterinerupture and factors associated with maternal death secondary to uterinerupture". BMC Pregnancy and Childbirth...
Diab AE (2005). "Uterineruptures in Yemen". Saudi Medical Journal. 26 (2): 264–9. PMID 15770303. Chamiso B (October 1995). "Rupture of pregnant uterus...
negative outcomes for the fetus if taken during pregnancy. In rare cases, uterinerupture may occur. It is a prostaglandin analogue—specifically, a synthetic...
occurs in about 1 in 200 pregnancies. Along with placenta previa and uterinerupture it is one of the most common causes of vaginal bleeding in the later...
worst case scenario of having a niche is the chance of a uterinerupture. A uterinerupture means that the wall of the uterus, at the place of the previous...
result of gas build up Uterus sensitivity Ketosis Distress of the fetus Uterineruptures Distress to the fetus as a result of decreasing oxygen levels Internal...
mother dies during a complicated delivery (conjoined twins) from a uterinerupture. The babies are born premature. Shiva becomes an expert in the repair...
Uterine Tachysystole is a condition of excessively frequent uterine contractions during pregnancy. It is most often seen in induced or augmented labor...
risk of uterinerupture. Further, urinary complications may develop such as cystitis, and bladder distention could eventually lead to rupture of the bladder...
section, and allowed to continue can cause serious complications such as uterinerupture and hemorrhage. Patients with CSP generally present without symptoms...
lead to a potentially fatal uterinerupture. The majority of pregnancies in a rudimentary horn result in torsion and rupture, although there are still some...
processes that increase the frequency and intensity of uterine contractions. On occasion, with the rupture of membranes, particularly if the head is not engaged...
section using a low transverse uterine incision. The main risks of TOLAC are emergency caesarean section and uterinerupture. "Vaginal Birth After Cesarean...
mother may include vaginal or perineal tears, postpartum bleeding, or uterinerupture. Risk factors include gestational diabetes, previous history of the...
variants have been described in the medical literature. Uterine adenomyoma, the localized form of uterine adenomyosis, is a tumor composed of endometrial gland...
miscarriage, ectopic pregnancy, molar pregnancy, incompetent cervix, uterinerupture, and preterm labor. Bleeding in early pregnancy may be a sign of a...
previous pregnancy are at risk of having a uterinerupture, when their caesarean scar re-opens. Uterinerupture is very serious for the woman and the baby...
Artificial rupture of membranes (AROM), also known as an amniotomy, is performed by a midwife or obstetrician and was once thought to be an effective...
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