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  • Rupture of uterus 子宫破裂: Lin Jianhua

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    AkhilMuraleedharan
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    Uterine rupture is the separation of the muscular wall of the uterus, usually occurring during labor or late pregnancy. It can be caused by weak scars from previous uterine surgeries like C-sections, obstructed labor, or overstimulation with oxytocin drugs. Uterine rupture is classified as incomplete or complete depending on whether the peritoneal coat is torn. Symptoms include abdominal pain, fetal distress, and vaginal bleeding. Treatment requires improving the woman's condition, immediate surgery to repair or remove the uterus, and antibiotics. Uterine rupture has high mortality and morbidity if not promptly treated.

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    Uterine rupture is the separation of the muscular wall of the uterus, usually occurring during labor or late pregnancy. It can be caused by weak scars from previous uterine surgeries like C-sections, obstructed labor, or overstimulation with oxytocin drugs. Uterine rupture is classified as incomplete or complete depending on whether the peritoneal coat is torn. Symptoms include abdominal pain, fetal distress, and vaginal bleeding. Treatment requires improving the woman's condition, immediate surgery to repair or remove the uterus, and antibiotics. Uterine rupture has high mortality and morbidity if not promptly treated.

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    10 vues15 pages

    Rupture of uterus 子宫破裂: Lin Jianhua

    Transféré par

    AkhilMuraleedharan
    Uterine rupture is the separation of the muscular wall of the uterus, usually occurring during labor or late pregnancy. It can be caused by weak scars from previous uterine surgeries like C-sections, obstructed labor, or overstimulation with oxytocin drugs. Uterine rupture is classified as incomplete or complete depending on whether the peritoneal coat is torn. Symptoms include abdominal pain, fetal distress, and vaginal bleeding. Treatment requires improving the woman's condition, immediate surgery to repair or remove the uterus, and antibiotics. Uterine rupture has high mortality and morbidity if not promptly treated.

    Droits d'auteur :

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    sur 15

    Rupture of uterus

    Lin Jianhua

    M.D., Ph.D., Professor

    Department Of Obstetrics & Gynecology


    Renji Hospital Affiliated to SJTU School of Medicine

    Definition
    Separation of the muscular wall of the
    uterus
    usually occurs during labor
    occasionally happen during the later weeks
    of pregnancy

    causes
    During pregnancy
    weak scar after previous operations on the uterus
    History of cesarean section (VBAC,vaginal birth
    after c- section)
    myomectomy
    excision of a uterine septum
    previous perforation of uterus(D&C,
    hysteroscopy, forceps delivery

    During labor:
    uterine hyper-stimulation(oxytocin with pitocin
    induction or argmentation of labor)
    obstructed labor(macrosomia, feopelvic dispropotion)
    intrauterine manipulation(internal version,manual
    removal of an adherent placenta)
    forcible dilatation(cervical tear)
    a weak scar(C-section or other operations)

    types
    Incomplete rupture
    complete rupture
    depending on whether the peritoneal coat is
    torn through or not

    Symptoms and signs


    1. Rupture of scar
    be gradual that symptom is very slight in incomplete
    rupture
    abdominal pain wrongly attributed to the onset of labor
    severe pain and shock occurs in complete (suddenly
    pain)
    fetal distress
    bleeding in vagina

    2.Spontaneous rupture during obstructed labor


    prolonged labor
    violent uterine actions,
    *pathologic retraction ring
    disporpotion, malpresentation(transverse lie)
    fetal distress
    a sharp, tearing pain in lower abdomen
    pulse rapid
    blood pressure fall
    fetus may be felt in the abdominal cavity

    3. Rupture by oxytocin drugs:


    be follow the administration of oxytocin
    the danger is less if the drug is given as a
    dilute intravenous drip given in an
    increasing fashion

    Prognosis
    has a high mortality
    peri-natal morbidity is high

    treatment
    Womens general condition must be improved
    giving morphome, blood transfusion,glucose
    solution)
    immediate laparotomy
    hysterectomy
    wide-spectrum antibiotics

    Key word
    The causes of the rupture of the uterine
    pathologic retraction ring

    THANKS FOR YOUR ATTENTION


    Lin Jianhua
    M.D., Ph.D., Professor
    Dep. of Obstet. & Gynecol.
    Renji Hospital Affiliated to SJTU School of Medicine

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