RUPTURE OF UTERUS

 “Dissolution/break in the continuity of the uterine wall any time beyond 28 weeks of pregnancy is called rupture of the uterus”

Incidence – 1 in 2500 -3000 delivers

Etiology:- Pregnancy:-

Spontaneous:- Intact Uterus

Multi parity

Congenital Malformation of uterus

Abruptio placenta

Scar

Manual removal of D&C pregnancy 

Introgenic:-

Traumatic

External cephalic version

Oxytocins or prostaglandin

During Labour:-

Spontaneous:-

Intact Uterus

Grand Multipara

Congenital Malformation of uterus

Obstructive

C.S

Repair of Prencus obstetrive rupture

Iatrogenic:- Traumatic

Vaginal operative delivery

Oxytocin

Prostaglandin

Clinical features:-

Severe abdominal pain

Pulse

Fresh vaginal bleeding

Fetus become palpable in abdominal

Shock

Absent FHS

Management:- Management of shock

Psychological & emotional support

Surgical:- Laparotomy

Hysterectomy

Repair & sterilization