UTERINE RUPTURE

UTERINE RUPTURE - spontaneous and traumatic rupture of the uterus

CAUSES:

• rupture of the scar of previous secarean section
• prolonged obstructed labor
• forced delivery of fetus with abnormalities like hydrocephalus
• application of forcep
• unwise use of oxytoxin
• excessive manual pressure applied to the fundus during delivery

SIGN AND SYMPTOMS OF COMPLETE RUPTURE

• sudden sharp abdominal pain during contraction
• abdominal tenderness
• cessation of contraction
• fetus easily palpated and no heart tone
• bleeding from abdominal cavity and fresh blood to the vagina
• signs of shock- rapid pulse, weak pulse, cold clammy skin

SIGNS AND SYMPTOMS OF INCOMPLETE RUPTURE:

• abdominal pain during contraction
• contraction continue but cervix fails to dilate
• vaginal bleeding may be present

MANAGEMENT:

• prepare for surgery
• blood transfusion to replace blood loss
• Antibiotics prevent infection of the ruptured uterus

my nursing notes
reference: maternal nursing book