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Transeverse uterine rupture. Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth. [3] Symptoms, while classically including increased pain, vaginal bleeding, or a change in contractions, are not always present. [1] [2] Disability or death of the mother or baby may result. [1] [3]
It increases the risk of the mother getting an infection, having uterine rupture, or having post-partum bleeding. [1] Long-term complications for the mother include obstetrical fistula. [2] Obstructed labour is said to result in prolonged labour, when the active phase of labour is longer than 12 hours. [2]
The lower segment becomes stretched and thinner and, if neglected, may lead to uterine rupture. It is a major pathology behind obstructed labor. A circular groove encircling the uterus is formed between the active upper segment and the distended lower segment. Due to pronounced retraction, there is fetal jeopardy or even death.
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. Having a uterine rupture during active labor in women ...
In an incomplete rupture, the peritoneum is still intact. With a complete rupture, the contents of the uterus may spill into the peritoneal cavity or the broad ligament. A uterine rupture is a life-threatening event for both mother and baby as it typically results in severe hemorrhage and can cause perinatal asphyxia.
Diagnosis is suspected based on symptoms and speculum exam and may be supported by testing the vaginal fluid or by ultrasound. [2] If it occurs before 37 weeks it is known as PPROM (preterm prelabor rupture of membranes) otherwise it is known as term PROM. [2]
Endometriosis: A condition where uterine tissue grows outside the uterus, causing significant pain. Ovarian cysts or torsion: Cysts can form on the ovaries, sometimes leading to rupture or ...
Placental abruption is when the placenta separates early from the uterus, in other words separates before childbirth. [2] It occurs most commonly around 25 weeks of pregnancy. [2] Symptoms may include vaginal bleeding, lower abdominal pain, and dangerously low blood pressure. [1]