1 / 9

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.

orsin
Download Presentation

Uterine Rupture

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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

More Related