Uterine rupture

Background

• Previous C-section is primary risk factor

Diagnosis

• Mother
  • Persistent abdominal pain
  • Vaginal bleeding
  • Loss of fetal station
  • Palpable uterine defect
• Fetus
  • Bradycardia

Differential Diagnosis

3rd Trimester/Postpartum Emergencies

• Acute fatty liver of pregnancy
• Amniotic fluid embolus
• Chorioamnionitis
• Eclampsia
• HELLP syndrome
• Mastitis
• Peripartum cardiomyopathy
• Postpartum endometritis (postpartum PID)
• Postpartum headache
• Postpartum hemorrhage
• Preeclampsia
• Resuscitative hysterotomy
• Retained products of conception
• Septic abortion
• Uterine rupture

Management

• Fluid resuscitation
• Blood product replacement
• Emergent delivery of fetus

See Also

Postpartum Emergencies

Source

Tintinalli