Uterine rupture: Difference between revisions
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==Background== | ==Background== | ||
*Previous C-section is primary risk factor | *Previous C-section is primary risk factor | ||
*Attempting VBAC | |||
*Cocaine use | *Cocaine use | ||
*Trauma | |||
*Multigestational | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 10:03, 22 March 2015
Background
- Previous C-section is primary risk factor
- Attempting VBAC
- Cocaine use
- Trauma
- Multigestational
Diagnosis
- Mother
- Persistent abdominal pain
- Vaginal bleeding
- Loss of fetal station
- Palpable uterine defect
- Fetus
- Bradycardia
Differential Diagnosis
Vaginal Bleeding in Pregnancy (>20wks)
- Emergent delivery
- Placental abruption
- Placenta previa
- Vasa previa
- Uterine rupture
- Preterm labor
- Vaginal trauma
- Placenta accreta
- Intrauterine fetal demise
3rd Trimester/Postpartum Emergencies
- Acute fatty liver of pregnancy
- Amniotic fluid embolus
- Chorioamnionitis
- Eclampsia
- HELLP syndrome
- Mastitis
- Peripartum cardiomyopathy
- Postpartum endometritis (postpartum PID)
- Postpartum headache
- Postpartum hemorrhage
- Preeclampsia
- Resuscitative hysterotomy
- Retained products of conception
- Septic abortion
- Uterine rupture
Management
- Fluid resuscitation
- Blood product replacement
- Emergent delivery of fetus
See Also
Source
Tintinalli