Uterine Rupture

Presentation of uterine rupture: with intense abdominal pain associated with vaginal bleeding, ranging from spotting to massive hemorrhage

Attention:
- Usually is after trauma
- Or the patient has history of previous classic incision on uterus

Note:
- Risk in transverse line is 0.5%
- in Vertical its 5.0%.

Diagnosis of uterine rupture:
- Clinical Settings
- Ultrasound

Attention: In the real emergency, stabilizing the patient and rushing her to operating room without any further studies would be recommended.

Treatment of Uterine Rupture:
- If Patient does not want any more children, total hysterectomy
- If she wants more kids then Debridment and closure is indicated

Main Differential Diagnosis of Uterine Rupture is Abruptio Placenta as both present by painful third trimester bleeding. Also both can be preceded by trauma.

Attention: Any pregnant patient after Motor Vehicle Accident or any other kinds of real trauma should be watched and monitored for at least 24 hours. The monitor includes Fetal Heart Rate Monitoring.