Third-Trimester Bleeding: Uterine Rupture

 UTERINE RUPTURE

 

Most cases of uterine rupture occur in the site of a prior cesarean delivery. 

 

Uteran rupture describes a spontaneous complete transection of the uterus from endometrium to serosa. If the peritoneum remains intact, it is referred to as a partial rupture or uterine dehiscence. With complete rupture and fetal expulsion into the abdo-men, mortality ranges from 50% to 75%. Fetal survival depends in large part on whether the placenta remains attached to the uterine wall. Cesarean delivery is imperative to ensure neonatal survival and decrease maternal morbidity

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