what can uterine ruptures be?
what is a complete uterine rupture?
tear in the all of the uterus
with or without expulsion of the fetus
what is a incomplete uterine rupture?
tearing of the uterine wall but not perimetrium
when does a uterine rupture usually occur?
what are the causes for a uterine rupture?
previous C section
obstructive labour e.g. shoulder dystocia
previous uterine trauma from assisted birth
trauma e.g. seatbelt injury in RTC
what are the S and S of a complete uterine rupture?
maternal tachycardia and signs of shock
sudden collapse of mother
severe abdominal pain
vaginal bleeding uterine contractions may stop
fetus may be palpable in abdomen
may have minimal pain or blood loss
labour may progress normally
disproportionate signs of haemorrhagic shock in the 3rd stage of labour- may manifest as postpartum haemorrhage