Uterine Rupture (Uterine Tear During Childbirth)
Description
Tearing of the uterus that occurs during labor. If not immediately treated it can result in the death of the fetus and the mother. It is more common in women with previous C-sections. The first sign of the disorder is marked fetal bradycardia.
Symptoms
Tearing uterine pain, vaginal hemorrhage, cessation of uterine contractions, slow heart rate of fetus.
Tests
A history and physical exam will be performed. Additional tests will be done to establish the diagnosis. A decrease in the fetal heart rate is the most sensitive diagnostic tool.
Standard Workup
- CBC
- Chem 12
Treatment
Immediate surgery to deliver the baby and stop the maternal hemorrhage is the mainstay of therapy. Other treatments include blood transfusions, intravenous fluids and support of the mother's vital signs.
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Research
Peritonitis associated with passage of the placenta into the abdominal cavity in a llama.
Provided by: PubMed
[Diagnosis of intramural pregnancy by endoluminal color Doppler ultrasonography and review of the literature.]
Provided by: PubMed
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