The document discusses uterine rupture, which occurs when the wall of the uterus tears during labor or late pregnancy. It can be caused by a previous C-section scar or other uterine surgery. Symptoms include abdominal pain and bleeding. Treatment requires emergency surgery to remove the baby and placenta, control bleeding, and potentially remove the uterus. While rare, it poses risks to both mother and baby if not promptly treated.

1. ELSA M ABRAHAM
MWCH. DUBAI.

2. “It is said that women in
labor leaves their bodies...
they travel to the stars to
collect the souls of their
babies, and return to this
world together”

4. Tear in the wall of the uterus.
Usually occurs during labor.
Occasionally happen during the
later weeks of pregnancy.

5.  Uterine scar from a
previous cesarean section.
 Uterine surgery that result in
full-thickness incisions. Eg.
myomectomy

6. Abdominal pain and tenderness.
Bleeding in vagina.
Chest pain, pain between the scapulae, or
pain on inspiration.
Hypovolemic shock caused by hemorrhage.
Signs associated with fetal oxygenation.
Absent fetal heart sounds.
Cessation of uterine contractions.
Palpation of the fetus outside the uterus.

7.  Fluid and blood transfusion .
 Cesarean hysterectomy.
 Emergencyexploratory laparotomy.

8. Rarely life-threatening for the birthing
woman.
Risks associated with c-section surgery.
Blood transfusions or even a hysterectomy if
the blood loss is excessive.
Risk of the baby/or placenta being pushed
through the uterine wall.
Chances of the mother haemorrhaging.
Baby is more likely to be deprived of oxygen,
causing brain damage and death.

9. Aim to:
Resuscitate her and operate soon.
Remove the baby and the placenta
Control bleeding.
Repair or remove her uterus.