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An old cesarean scar may undergo dehiscence; with further labor the woman may experience abdominal pain and vaginal bleeding, though these signs are difficult to distinguish from normal labor. Often a deterioration of the fetal heart rate is a leading sign, but the cardinal sign of uterine rupture is loss of fetal station on manual vaginal exam.
Rupture of the membranes is known colloquially as "breaking (one's) water," especially when induced rather than spontaneous, or as one's "water breaking". [2] A premature rupture of membranes (PROM) is a rupture of the amnion that occurs at full term and prior to the onset of labor. [ 3 ]
Deficient scar formation: Results in wound dehiscence or rupture of the wound due to inadequate formation of granulation tissue. Excessive scar formation: Hypertrophic scar, keloid, desmoid. Exuberant granulation (proud flesh). Deficient contraction (in skin grafts) or excessive contraction (in burns).
Wound dehiscence is a surgical complication in which a wound ruptures along a surgical incision. Risk factors include age, collagen disorder such as Ehlers–Danlos syndrome , diabetes , obesity , poor knotting or grabbing of stitches , and trauma to the wound after surgery.
Bremner, a 38-year-old mother and waitress, said she then felt her C-section scar "burst" open, leaving her cradling her intestines, which poured out of the wound.
A uterine rupture means that the wall of the uterus, at the place of the previous cesarean section or at the place of the niche, opens up, therefore can cause stress to the baby. Having a spontaneous uterine rupture, in other words a uterine rupture without contractions is extremely rare.
Kerr published the results in 1920, proposing that this method would cause less damage to the vascularized areas of uterus than the classical operation. He claimed that it was better than the longitudinal uterine incision in terms of chances for scar rupture and injury to vessels. [9]
Sealing membranes after rupture: Infection is the major risk associated with PROM and PPROM. [25] By closing the ruptured membranes, it is hoped that there would be a decrease in infection, as well as encouraging the re-accumulation of amniotic fluid in the uterus to protect the fetus and allow for further lung development.