Uterine rupture: Difference between revisions
| Line 7: | Line 7: | ||
==Diagnosis== | ==Diagnosis== | ||
* | *Ultrasound: abdominal free fluid, uterine defect | ||
*Maternal Clinical | |||
**Persistent abdominal pain | **Persistent abdominal pain | ||
**Vaginal bleeding | **Vaginal bleeding | ||
| Line 14: | Line 15: | ||
*Fetus | *Fetus | ||
**Bradycardia | **Bradycardia | ||
**Fetal heart decels | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 10:04, 22 March 2015
Background
- Previous C-section is primary risk factor
- Attempting VBAC
- Cocaine use
- Trauma
- Multigestational
Diagnosis
- Ultrasound: abdominal free fluid, uterine defect
- Maternal Clinical
- Persistent abdominal pain
- Vaginal bleeding
- Loss of fetal station
- Palpable uterine defect
- Fetus
- Bradycardia
- Fetal heart decels
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