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What is uterine rupture and how dangerous is it?

PLOYNIN PUTTAPITAKPONG

Uterine rupture (Uterine Rupture) is a condition in which the uterine wall tears through all layers, causing the fetus, blood, or placenta to possibly come out of the uterine cavity. It is considered an obstetric emergency that is severely dangerous to the life of both the mother and the fetus, and requires urgent treatment.

Warning signs of uterine rupture

Sudden severe abdominal pain or pain different from normal labor pain
Heavy vaginal bleeding
Abnormal uterine contractions or sudden cessation
Abnormally rapid maternal pulse, low blood pressure, or shock
Abnormal fetal heart rate, such as slowing or absence of fetal heartbeat

Common causes

Previous cesarean section, especially a uterine incision, which may be a weak point and rupture during labor
Excessive use of uterine contraction-stimulating drugs
Obstructed labor or prolonged labor duration longer than normal
Severe trauma to the uterus, such as an accident
Thin or abnormal uterine wall, such as prior uterine surgery or previous uterine tear

Treatment

Uterine rupture requires urgent treatment, in which the doctor will perform

Immediate emergency cesarean section
Suturing repair of the uterus or hysterectomy in cases of severe bleeding that cannot be controlled
Administration of blood and fluids to prevent shock and maintain stable blood pressure

Risk groups for uterine rupture

Those with a history of cesarean section in a previous pregnancy, especially a vertical uterine incision
Those undergoing vaginal delivery after a previous cesarean section
Those receiving labor-inducing drugs
Those with multiple pregnancies

Is it common?

Uterine rupture is not common, but when it occurs it is considered a severe and dangerous condition. Urgent surgery is required to save the lives of both the mother and the fetus. However, if currently pregnant, with a history of cesarean section or risk factors, antenatal care should be attended regularly and consultation with the attending obstetrician-gynecologist is recommended to assess risk and plan a safe delivery.

About the Author

PLOYNIN PUTTAPITAKPONG

Obstetrics Gynecology Center

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Obstetrics Gynecology Center

PLOYNIN PUTTAPITAKPONG

Obstetrics Gynecology Center

More Information

Appointment

Obstetrics Gynecology Center

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