Uterine rupture: Difference between revisions
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*Ultrasound: abdominal free fluid, uterine defect | *Ultrasound: abdominal free fluid, uterine defect | ||
*Maternal Clinical | *Maternal Clinical | ||
**Persistent abdominal pain | **Persistent abdominal pain with peritoneal signs | ||
**Vaginal bleeding | **Vaginal bleeding | ||
**Maternal shock | |||
**Loss of fetal station | **Loss of fetal station | ||
**Palpable uterine defect | **Palpable uterine defect | ||
| Line 16: | Line 17: | ||
**Bradycardia | **Bradycardia | ||
**Fetal heart decels | **Fetal heart decels | ||
**Fetal demise | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 06:37, 29 October 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 with peritoneal signs
- Vaginal bleeding
- Maternal shock
- Loss of fetal station
- Palpable uterine defect
- Fetus
- Bradycardia
- Fetal heart decels
- Fetal demise
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