ruptured uterus

Etiology

• labor & delivery
• uterine scar from a previous cesarean section is the most common risk factor

Pathology

• life-threatening for mother & baby

Clinical manifestations

• typically occurs during early labor
• may develop during late pregnancy
• abdominal pain
• vaginal bleeding
• signs & symptoms of hypovolemic shock

Management

• emergency exploratory laparotomy with C-section
• fluids & blood transfusions as needed
• supportive treatment of hypovolemic shock
• hysterorrhaphy vs hysterectomy

More general terms

• uterine disease
• rupture