Uterine rupture Flashcards Preview

Obstetrics and Gynaecology > Uterine rupture > Flashcards

Flashcards in Uterine rupture Deck (5)
1

Define

1. Rupture of the uterine cavity
2. Rupture of fetal membranes

2

Risk factors

1. previous C section (+for classical,
less in LSCS)
2. multi,
3. +age
4. Placentation
5. Angular pregnancy
6. Over-distension
7. Gestation >40 weeks
8. Mole
9. Uterine trauma
10. Oxytocin
11. Instrumental abortion
12. Uterine anomalies

3

Clinical features

1. Abdominal pain, tearing, rigidity
2. Bleeding
3. Vitals->hypoT, tachyC, tachyp
4. Fetal distress, HR abnormality
5. Palpable fetal parts
6. Cessation of contractions

4

Complications

1. Fetal hypoxia, acidosis, death, cerebral palsy, neurological impairment
2. Intensive care
3. Severe maternal blood loss
4. Hypovolemic shock
5. Bladder injury
6. Need for hysterectomy
7. Maternal death

5

Management

1. ABC, AMPLE
2. IV access, IVF, bloods, catheter
3. Call consultant, theatre, anaesthetics->prep for surgery
4. Investigations: FBC, UEC, coags, GH and cross match
5. Consent for surgery +/- hysterectomy if repair cannot be done
6. Consider transfusion if need
7. Analgesia, antiemetic
8. Laparotomy, delivery, repair, hysterectomy