What does uterine rupture mean?

summary

Subtotal hysterectomy should be considered for patients with large rupture or irregular tear and infection. Uterine rupture can be controlled by ipsilateral internal iliac artery ligation. So, what does uterine rupture mean?

What does uterine rupture mean?

Uterine rupture refers to the laceration of uterine body or lower uterine segment during delivery or pregnancy, which is a serious obstetric complication and threatens the life of mother and child. They mainly died of hemorrhage, infection and shock. With the improvement of obstetric quality, the incidence of maternal and child health care network in urban and rural areas has decreased significantly. Urban hospitals have been rarely seen, and rural remote areas have occurred from time to time. The majority of uterine rupture occurs after 28 weeks of gestation, the most common in the delivery period. At present, the incidence is controlled below 1 ‰, the maternal mortality rate is 5%, and the infant mortality rate is as high as 50% - 75% or even higher.

Differential diagnosis of uterine rupture: placental abruption is often confused with acute onset, severe pain, internal bleeding, shock and other symptoms. Dystocia complicated with infection. In some cases of dystocia, the symptoms of abdominal pain and signs of peritonitis irritation were found after repeated vaginal examination, which were similar to the signs of uterine rupture. During vaginal examination, due to the long labor process and thin lower uterine segment, the fingers of double diagnosis were touching each other as if they were only separated from the abdominal wall, which was easy to be misdiagnosed as uterine rupture, Fetal presentation does not rise, nor does it touch the fetal body, which is located in the abdominal cavity, nor does the uterus shrink.

Uterine rupture if not timely rescue and care, it is easy to have sequelae. For example, body deficiency, body cold, weak antibodies, frequent illness. Uterine rupture may cause these sequelae. Women's constitution is cold. If we don't pay attention to keeping warm in the process of rescue treatment, the harm to the body will be greater, and the body will be colder. Especially gynecological diseases will often relapse.

matters needing attention

For women with high-risk causes of uterine rupture, such as scar on the uterus, adhesion on the placenta, history of repeated curettage, or women who have undergone myomectomy, they should go to the hospital about 14 days before the due date to wait for production, in case of emergency.