It typically occurs during labour, and can extend to affect the bladder or broad ligament. Symptoms while classically including increased pain, vaginal bleeding, or a change in contractions are not always present. Uterine rupture is a serious medical condition where the wall of … Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth. Management of uterine rupture depends on prompt detection and diagnosis. What is uterine rupture? Symptoms and signs of uterine rupture include fetal bradycardia, variable decelerations, evidence of hypovolemia, loss of fetal station (detected during cervical examination), and severe or constant abdominal pain. The causes of uterine rupture may be classified into two main categories: (1) uterine intervention or predisposing anomaly present before the current pregnancy, and (2) uterine injury or abnormality during a current gestation. [ncbi.nlm.nih.gov] Uterine rupture refers to a full-thickness disruption of the uterine muscle and overlying serosa. Causes of uterine rupture include. Uterine Rupture: Causes, Symptoms, And Treatment Rebecca Malachi Dr. Surakshith Battina Medically reviewed by Dr. Surakshith Battina (MD, OB/GYN) Written by Rebecca Malachi (BSc) March 19, 2020 Uterine rupture is a spontaneous tearing of the uterus that may cause the baby to slip into the abdominal cavity during late pregnancy or active labor. Thereby, there is an increased chance for the baby and the placenta to penetrate into the abdominal cavity via the ruptured uterine wall. Uterine rupture occurs when, during pregnancy, labor, or delivery, there is a tear in the uterus resulting from pressure. Coagulopathies require dotting factor replacement for the identified deficiency. The scar tissue from a previous C-section should grow and stretch naturally with the progression of a new pregnancy, but unfortunately, the rigors of labor can cause the uterine wall to stretch thin enough to cause failure if the labor is prolonged or intense. Uterine polyps. Cause of Uterine Rupture. Symptoms and signs of uterine rupture include fetal bradycardia, variable decelerations, evidence of hypovolemia, loss of fetal station (detected during cervical examination), and severe or constant abdominal pain. Irregular menstrual bleeding, bleeding after menopause, excessively heavy menstrual flow or bleeding between periods could signal the presence of uterine polyps. Uterine overdistention (due to multifetal pregnancy, polyhydramnios, or fetal anomalies) External or internal fetal version. There are two main types: Incomplete – where the peritoneum overlying the uterus is intact.
Uterine scar dehiscence is far more common than uterine rupture and only rarely results in major maternal or foetal complications.