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Uterine Rupture

Uterine Rupture. What is a Uterine Rupture. Uterine rupture is defined as a full-thickness separation of the uterine wall. This occurs when the uterus undergoes more strain than it is capable of sustaining during contractions and pregnancy.

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Uterine Rupture

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  1. Uterine Rupture

  2. What is a Uterine Rupture • Uterine rupture is defined as a full-thickness separation of the uterine wall. • This occurs when the uterus undergoes more strain than it is capable of sustaining during contractions and pregnancy. • A prior cesarean delivery is the major risk factor for uterine rupture. • Some ruptures can happen from prior uterine surgery, or pregnancy. Scenarios like these are rare occurrences of uterine ruptures.

  3. What are the symptoms and signs of a uterine rupture? • Fetal distress (as evidence by abnormalities in fetal heart rate • Diminished baseline uterine pressure • Loss of uterine contractility • Abdominal pain • Decreased blood pressure • Recession of the presenting fetal part • Hemorrhage • Shock

  4. What is the management and treatment of a uterine rupture? • Once a diagnosis of uterine rupture is established, the immediate stabilization of the mother and the fetus are imperative. • Studies from Medscape report a successful intervention after rupture needs to be established in 10-37 minutes before major fetal morbidity.

  5. What is the management and treatment of a uterine rupture? • After successful delivery of the fetus, surgical treatments depend on the following factors: • Type of uterine rupture • Extent and degree of rupture • Condition of mother • Mothers desire for future children

  6. What is the management and treatment of a uterine rupture? • Hysterectomy should be considered when intractable uterine bleeding occurs, or when there are multiple rupture sites, the rupture is longitudinal, or low lying.

  7. Nursing interventions • Administer emergency fluid replacement therapy per order. • Anticipate oxytocin • Oxytocin will contract the uterus and minimize bleeding. • Prepare for a possible laparotomy. (Incision through the abdominal wall) • Provide support to significant other if mother is rushed to the OR

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