GynaePulse
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EmergenciesFree in the app

Uterine rupture

Usually a scarred uterus in labour.

Source: Standard teaching

Signs

  • Abnormal CTG / fetal bradycardia (commonest first sign)
  • Scar pain or constant pain, especially between contractions
  • Loss of station; contractions stop
  • Vaginal bleeding, haematuria, shock
Category 1 CS / laparotomy; resuscitate; repair or hysterectomy.
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