UTERINE RUPTURE

Aug 10, 2008

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

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