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Uterine Rupture

Tearing of the uterus during labor is an emergency surgical condition.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Uterine Rupture?

Uterine rupture is separation of all layers of the uterine wall (complete) or a partial form in which the serosa remains intact (dehiscence). The incidence is 1/20,000 in unscarred uteri and 0.5-1% in VBAC trials.

The clinical picture is characterized by sudden severe abdominal pain, abnormal fetal heart sounds (bradycardia), vaginal bleeding, and loss of the presenting part. The fetus may pass into the abdominal cavity.

Without emergency laparotomy, it leads to maternal and fetal death. Perinatal mortality is 50-75% and maternal mortality 1-13%.

Symptoms

Sudden severe abdominal pain (often at the cesarean scar)
Sudden fetal bradycardia or absent fetal heart
Vaginal bleeding
Hypotension and shock signs
Recession of the presenting part
Abdominal asymmetry and palpable fetal parts

Risk Factors

Previous cesarean (classical incision is more risky)
VBAC (trial of labor after cesarean)
History of uterine surgery (myomectomy)
High-dose oxytocin induction
Grand multiparity (>5 deliveries)
Trauma and placenta percreta

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden severe abdominal pain during labor
  • Sudden loss of fetal movements
  • Marked change in pain during VBAC trial
  • Hypotension and weakness
  • Increased tenderness over the scar

Treatment Methods

01
Emergency laparotomy and uterine repair
02
Hysterectomy in severe cases
03
Blood products and massive transfusion
04
Fetal delivery (mortality often high)
05
Postoperative intensive care
06
Elective cesarean in future pregnancies

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.