Uterine rupture symptoms?

summary

Uterine rupture is a very serious phenomenon, with obvious symptoms. Patients may cause abdominal pain, abdominal colic and obvious increase of bleeding. The inducement of uterine rupture is very complex, which is generally caused by trauma in the third trimester of pregnancy. If serious uterine infection occurs in the process of production, Or the symptoms of dystocia may cause symptoms of uterine rupture, should be timely to the hospital through surgery for treatment? Let's talk about it.

Uterine rupture symptoms?

1. Threatened uterine rupture is common in women with long labor process and obstructive dystocia. In the process of labor, when the decline of fetal presentation is blocked, the powerful contraction makes the lower uterine segment thinner and the uterine body thicker and shorter, forming an obvious ring depression between the two, which will gradually rise to the umbilical level or above, which is called pathological contraction ring. At this time, the lower part of the swelling, tenderness is obvious, round ligament of uterus is extremely tense, can be obviously touched and tenderness. The parturient complained that her lower abdomen was very painful, restless, calling, rapid pulse and breathing. Because of the pressure on the bladder, dysuria and hematuria appear. Due to uterine contraction, fetal blood supply is blocked, fetal heart rate changes or can not hear clearly. If this condition is not relieved immediately, the uterus will soon rupture at and below the pathological ring.

2. According to the degree of rupture, uterine rupture can be divided into incomplete uterine rupture and complete uterine rupture（ 1) Incomplete uterine rupture: refers to the uterine myometrium partial or full-thickness rupture, serous layer is complete, uterine cavity and abdominal cavity is blocked, the fetus and its appendages are still in the uterine cavity. It is often seen in the scar rupture of lower uterine cesarean section incision, and often lacks the symptoms of threatened rupture. Abdominal examination only has tenderness at the incomplete rupture of uterus, and the signs are not obvious. If the rupture occurs between the two lobes of the broad ligament in the lateral wall of the uterus, a hematoma in the broad ligament can be formed. At this time, a gradually enlarged and tender mass can be touched on one side of the uterine body. Fetal heart sounds are irregular（ 2) Complete uterine rupture: refers to the full-thickness rupture of the uterine wall, so that the uterine cavity and abdominal cavity connected. After the symptoms of threatened uterine rupture, when the uterus is completely ruptured, the parturient often feels severe abdominal pain like tearing, and then the uterine contraction stops suddenly, and the pain is relieved. But as the blood, amniotic fluid and fetus enter the abdominal cavity, they soon feel continuous abdominal pain, accompanied by shock symptoms such as pale complexion, rapid or weak pulse, shortness of breath, and decreased blood pressure.

3. If the diagnosis of uterine rupture has been made, it is not necessary to check the uterine rupture through vagina. If the uterus is ruptured due to oxytocin injection, the parturient feels strong uterine contraction and sudden pain after injection, and the first exposed part rises and disappears immediately. The abdominal examination is as shown above.

matters needing attention

There are many inducing factors of uterine rupture, so reasonable prevention should be carried out. Women in late pregnancy should have regular prenatal examination. If there is scar uterus, it is best to make reasonable adjustment in the early stage of the disease to avoid the harm of uterine rupture.