Understanding Is Uterine Scar Rupture a Obstetric Emergency

Uterine Scar Rupture, the rarest yet most dangerous risk of vaginal birth after cesarean (VBAC) is when the scar on the uterus may split open (rupture) during labor stress. This comprises a full-thickness separation of the uterine wall also including the overlying uterine serosa. A comprehensive uterine scar rupture is a rare, but likely serious complexity, for both the mother and/or the baby that needs critical surgical interference.

The Risk Associated With Uterine Rupture

The risk for uterine rupture of 0.5% to 0.9% with a low intersecting scar has a uterine rupture throughout a trial of labor and 4% to 9% for ladies with a previous classical cesarean who labor. Hence, Women who have a low transverse cesarean scar have a more inferior risk of rupturing than women who have an upward incision scar.

On occasions, the scar extends thin enough to cause dehiscence or lattice. This is also identified as a silent or half-done rupture or an asymptomatic division. In contradiction to frank uterine rupture, uterine scar dehiscence includes the division and detachment of a preexisting uterine scar. Uterine scar dehiscence is a more popular event than uterine rupture and seldom appears in major maternal or fetal complexities. These two objects must be distinguished, as the prospects for clinical administration and the resulting clinical consequences differ significantly.

A woman’s risk of uterine rupture progresses with every extra uterine surgical scar. The vast bulk of uterine ruptures happen in women who possess uterine scars, most of which are the outcome of prior cesarean childbirth. A single cesarean scar increases the overall tear rate to 0.5%, with the rate for women with 2 or more cesarean scars rising to 2%.

Indications, Symptoms And Diagnosis

The indications and symptoms of uterine rupture mainly depend on the timing, location, and intensity of the uterine injury. Yet, modern investigations show that some of these symptoms and signs are unique and that many may not be certainly distinguished from their appearances in other, more benign obstetric conditions.

The typical signs and symptoms of uterine rupture are fetal distress as evidenced most frequently by the abnormal pattern in fetal heart rate or prolonged, late, or recurrent inconstant decelerations or fetal bradycardia is usually the first and only signs of uterine rupture. Other signs include diminished baseline uterine stress, suspension of uterine contractions, unexpected or atypical maternal abdominal pain or tenderness, the reversal of the presenting fetal part, vaginal bleeding or Hemorrhage and shock.

Reference

The primary management of uterine rupture will be the identical as that for other conditions of acute fetal distress but still you need to get it discussed with the best gynecologist in Delhi, DR Nisha Jain.

Content Source : https://www.drnishajain.com/understanding-is-uterine-scar-rupture-a-obstetric-emergency/

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