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Couvelaire uterus (also known as uteroplacental apoplexy) [1] is a rare but not a life-threatening condition in which loosening of the placenta (abruptio placentae) causes bleeding that penetrates into the uterine myometrium forcing its way into the peritoneal cavity. This condition makes the uterus very tense and rigid.
In the early stages of placental abruption, there may be no symptoms. [1] When symptoms develop, they tend to develop suddenly. Common symptoms include: sudden-onset abdominal pain [5] [8] contractions that seem continuous and do not stop [5] vaginal bleeding [5] [8] enlarged uterus (disproportionate to the gestational age of the fetus) [5]
Other measures include: keeping the women hydrated and antibiotics if the membranes have been ruptured for more than 18 hours. [4] In Africa and Asia obstructed labor affects between two and five percent of deliveries. [8] In 2015 about 6.5 million cases of obstructed labour or uterine rupture occurred. [5]
The pelvic exam during pregnancy is similar to the exam for non-pregnant women; however, more attention is given to the uterus and cervix. The size of the uterus is assessed at the initial visit, and the growth of the uterus is assessed at subsequent visits. In the first trimester the uterine size can be assessed on bimanual examination.
Known as uterus didelphys, this is “part of a spectrum of disorders that are referred to as Müllerian abnormalities,” says Erin Higgins, an ob-gyn doctor at the Cleveland Clinic, which has a ...
Hunger, stress, and sex-related hormones cause swelling, weight fluctuations, and bloated sensations. Find a list of different hormonal belly causes here.
Giuliani et al. found that asymptomatic uterine fibroids are present in 70% of individuals who were diagnosed with it, suggesting that it plays a role in epidemiologic studies underestimating its prevalence. [32] Uterine fibroids are treated if the person is experiencing symptoms such as anemia, infertility, and pelvic and back pain.
During pregnancy, the enlarged abdomen and gravid uterus place additional strain on lumbar muscles and shift the pregnant woman's center of gravity. These postural compensations culminate in an increased load on both lumbar spinal musculature and the sacroiliac ligaments, manifesting as low back pain and/or pelvic girdle pain. [ 12 ]