- Occurs when uterus undergoes more strain than it is capable of sustaining.
- Precipitating factors include the following:
a. Positive vertical scar from previous CS birth, hysterectomy.
b. Prolonged labor.
c. Faulty presentation.
d. Multiple gestations.
e. Obstructed labor.
f. Unwise use of oxytocin.
- It is often suggested by Brandt’s pathologic retraction ring and strong uterine contractions without cervical dilation.
- Schedule a CS immediately to prevent rupture.
- Assessment: - positive sudden, severe pain during strong contractions.
- Woman may report a tearing sensation.
- Uterine contractions stop after rupture.
- Signs and symptoms of shock begin as a result of hemorrhage from torn uterus.
- Fetal heart sounds fail.
- Management: emergency situation
- Fluid displacement immediately to counteract shock.
- Oxytocin via IV may be administered as ordered to contract uterus and minimize bleeding.
- Woman may be advised against another pregnancy unless rupture happened at lower segment.
- Provide emotional support.
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