Uterine rupture is a rupture in pregnancy and is a very rare condition which may happen in 0.07% - 0.08% cases only. Still, it is necessary to understand the reason, the probable symptoms and methods to treat it safely. The uterus is a 3 layered stretchable bag like, located in the abdominal cavity. The thin inner layer called endometrium, the middle layer of muscles and gives strength to the wall and the outermost layer called serosa or the peritoneum which is a very thin envelope-like barrier separates the uterus from the abdominal cavity.
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Uterine rupture is a tear in the Uterine wall. Observed in the last trimester of pregnancy and can cause maternal and foetal distress. It occurs when the uterine wall tears and the content ( foetus, placenta and umbilical cord) collapse of the mother are expelled out.
However, the contents always need not be expelled out. Mere rupture at times can cause profuse bleeding leading to collapse of mother and severe fetal distress.
The leading cause is scar rupture following a previous C-section. The rupture can be caused due to an upper segment C-section which can be without an onset of labor pain. Even the lower segment C-sections lead to rupture but rather late. Other reasons are any surgery done on uterus like D&C fibroid surgery correction of uterine anomalies and others.
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These are indicative symptoms, and proper diagnoses by experts are required to confirm it.
Timely diagnosis and commencement of treatment as quickly as possible to prevent complications
It is necessary to stabilize the mother, the foetus should be delivered within 10 to 37 minutes of rapture to avoid further complications to both mother and child. The newborn baby may require neonatal intensive care unit admission and observation. This may also require surgical intervention.
It is better to take preventive steps to minimize the risk:
Doctors too should take the following precautions:
Best way to avoid uterine rupture is by being aware and alert.