Uterine rupture

The uterine rupture is a rupture of the uterus usually during childbirth. The incidence is approximately 1:1500 births.

Causes

The most common cause is a previous surgery on the uterus. Spontaneous rupture may occur at position anomalies or mismatch and labor storm. Traumatic ruptures of the uterus may occur when strong external force action.

Molding

One distinguishes the complete rupture of the uterus, where the child is located in the abdominal cavity and covered uterine rupture where it comes to a uterine scar dehiscence without open connection to the abdominal cavity.

Symptoms

Symptoms of impending rupture are an increase in labor pains until frequency storm, restlessness and anxiety as well as a great pain on pressure in the lower uterine segment. It comes to a standstill and the birth Bandl ring rises above the navel. There is blood in the urine ( hematuria) detectable.

With a rupture occurred, the child heart rate drops and the contractions suddenly hears on. The patient has a sense of inner tearing. Due to the blood loss leads to shock signs (tachycardia, hypotension, pale, cold and clammy skin, increased level of consciousness ). Vaginal blood flow is detected. The child can be palpated below the abdominal wall.

Therapy

To therapy is an immediate intravenous tocolysis and a moderate emergency caesarean section.

Source

• Schneider, Husslein, Obstetrics, Springer Verlag, ISBN 3-540-44032-1

• Disease in obstetrics and gynecology
• Disease in emergency medicine