Uterine rupture (uterine tear during childbirth)

About Uterine rupture (uterine tear during childbirth)

Tearing of the uterus that occurs during labor. If not immediately treated it can result in the death of the fetus and the mother. It is more common in women with previous C-sections. The first sign of the disorder is marked fetal bradycardia.

Symptoms

Pelvic pain, vaginal hemorrhage, cessation of uterine contractions, slow heart rate of fetus.

Tests & Diagnostics

A history and physical exam will be performed. Additional tests will be done to establish the diagnosis. A decrease in the fetal heart rate is the most sensitive diagnostic tool.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP).

Conventional treatment summary

Immediate surgery to deliver the baby and stop the maternal hemorrhage is the mainstay of therapy. Other treatments include blood transfusions, intravenous fluids and support of the mother's vital signs.

Medical specialties

Obstetrics and Gynecology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Uterine rupture (uterine tear during childbirth).