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{{Uterine rupture}}
{{Uterine rupture}}
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==Overview==
==[[Uterine rupture overview|Overview]]==
'''Uterine rupture''' is a potentially catastrophic event during [[childbirth]] by which the integrity of the [[myometrium|myometrial]] wall is breached. In an incomplete rupture the [[peritoneum]] is still intact. With a complete rupture the contents of the uterus may spill into the peritoneal cavity or the [[broad ligament]]. A uterine rupture is a life-threatening event for mother and baby.
==[[Uterine rupture historical perspective|Historical Perspective]]==


==Etiology==
==[[Uterine rupture classification|Classification]]==
A uterine rupture typically occurs during early [[labor (childbirth)|labor]], but may already develop during late pregnancy. A uterine scar from a previous [[cesarean section]] is the most common risk factor. Other forms of uterine surgery that result in full-thickness incisions (such as a [[myomectomy]]), dysfunctional labor, labor augmentation by [[oxytocin]] or [[prostaglandins]], and high parity may also set the stage for uterine rupture.  In 2006, an extremely rare case of uterine rupture in a first pregnancy with no risk factors was reported.<ref>{{cite journal |author=Walsh CA, O'Sullivan RJ, Foley ME |title=Unexplained prelabor uterine rupture in a term primigravida |journal=Obstetrics and gynecology |volume=108 |issue=3 Pt 2 |pages=725-7 |year=2006 |pmid=17018479 |doi=10.1097/01.AOG.0000195065.38149.11}}</ref>


==Clinical presentation==
==[[Uterine rupture pathophysiology|Pathophysiology]]==
Symptoms of a rupture may be initially quite subtle. An old cesarean scar may undergo dehiscence, but with further labor, the paturient may experience abdominal pain and vaginal bleeding. Often a deterioration of the fetal heart rate is a leading sign. Intraabdominal bleeding, of course, can lead to [[hypovolemic shock]] and death.
 
==[[Uterine rupture causes|Causes]]==
 
==[[Uterine rupture differential diagnosis|Differentiating Uterine Rupture from other Diseases]]==
 
==[[Uterine rupture epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Uterine rupture risk factors|Risk Factors]]==
 
==[[Uterine rupture natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
==Diagnosis==
[[Uterine rupture history and symptoms|History and Symptoms]] | [[Uterine rupture physical examination|Physical Examination]] | [[Uterine rupture laboratory findings|Laboratory Findings]] | [[Uterine rupture CT|CT]] | [[Uterine rupture MRI|MRI]] | [[Uterine rupture ultrasound|Ultrasound]] | [[Uterine rupture other imaging findings|Other Imaging Findings]] | [[Uterine rupture other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
Emergency exploratory [[laparotomy]] with cesarean delivery accompanied by fluid and [[blood transfusion]] are indicated for the management of uterine rupture. Depending on the nature of the rupture and the condition of the patient the uterus may be either repaired or needs to be removed (cesarean hysterectomy).
[[Uterine rupture medical therapy|Medical Therapy]] | [[Uterine rupture surgery|Surgery]] | [[Uterine rupture primary prevention|Primary Prevention]] | [[Uterine rupture secondary prevention|Secondary Prevention]] | [[Uterine rupture cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Uterine rupture future or investigational therapies|Future or Investigational Therapies]]


== Case Studies ==
[[Uterine rupture case study one|Case #1]]
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 14:47, 1 February 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Uterine Rupture from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

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Case #1

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