Rupture of the uterus during pregnancy: What women need to know

The article was consulted professionally by Specialist I Le Thi Phuong – Obstetrics and Gynecology Department – Share99 Ha Long International Health Hub.

Rupture of the uterus is one of five dangerous obstetric accidents that directly affect the fetus and maternity. If not detected and handled in time can be fatal, rupture of the uterus in labor is more common than rupture of the uterus during pregnancy.

5 dangerous obstetric accidents can be mentioned:

• Rupture of the uterus
• Young peeled vegetables
• Post-birth blood bandages
• Post-production infections
• Newborn umbilical tetanus

Rupture of the uterus is a condition in which the uterus is torn from the mucosa through the muscle layer, if it comes to the whole mucous membrane through the uterus chamber through the uterus through the abdomen called a complete rupture of the uterus. If the mesitoneal layer is intact, then the rupture of the uterus is not complete. Rupture of the uterus damages both the bladder or the gastrointestinal tract called complex rupture of the uterus.

Currently, thanks to the progress of science in the field of resuscitation anesthesia as well as the advanced level of obstetrics and gynecology as well as the expansion of the pregnancy management network, limiting rough procedures, prescribing a timely cesarean section, the incidence of rupture of the uterus has decreased much. Rupture of the uterus can occur during pregnancy, but is more common during labor.

One of the optimal methods that are carried out emergency when a rupture of the uterus occurs is The Surgery to preserve the uterus due to rupture of the uterus – Surgery should be carried out in reputable medical facilities, highly specialized doctors to limit unfortunate cases. Share99 International Health Hub is one of the largest and most prestigious medical facilities in Vietnam with advanced and modern equipment; converging a team of professional and experienced doctors; the quality of examination and service is always put on top by the hospital.

2.1. cause

Rupture of the uterus during pregnancy may occur on pregnant women with old surgical scars in the uterus due to:

• Cesarean section in the body of the uterus
• Stitching up the ruptured uterus
• Cesarean section of two or more times (scarring of the previous lower uterus, the more caesarean sections increase the risk of rupture of the uterus)
• Angular surgery of the uterus in surgery for the treatment of extra-intra-uterus pregnancy in the horns.
• Infected cesarean section at incision or uterus
• Uterine fibroid surgery (if uterine fibroids are inge in the endo willea)
• Stitching of the uterus perforation after abortion

2.2. symptom

Rupture of the uterus during pregnancy can occur in the middle and last 3 months of pregnancy but there is no sign of a threat of rupture of the uterus.

• Pain occurs suddenly in the uterus area (usually in the old incision position).
• Bleeding in the vagina.
• In some cases there are signs of stunting, pale facial skin, rapid breathing, shallow breathing, a panic face, anxiety, cold limbs, sweating, rapid pulse, lower blood pressure, sometimes cardiac arrest.
• Pain can spread throughout the abdomen, sometimes the peritoneal reaction is very clear.
• The uterus no longer has its original shape, it is possible to palpation of the fetal parts just below the abdominal wall, in case of rupture of the uterus it is not quite possible to palpation of the uterus but there is a point of glare in the scarring area of the uterus.
• The pregnant heart can no longer be heard.
• Vaginal examination: The pregnancy is not palpable and there is blood coming out with her hands.

• If not handled in time, especially rupture of the uterus occurs in the glands that are not capable of surgery, which can lead to the death of both the mother and the fetus.
• The incidence of having a uterus removal is high in cases of rupture of the uterus.
• Organ damage: possible damage to the bladder, ureter, hypothortic vessels, colorectal during rupture of the uterus and during surgery to treat rupture of the uterus.

• Strictly perform examinations and tests during pregnancy, especially those at the end of pregnancy.
• People with uterus scars should wait at least 3 years to get pregnant again.
• For high-risk pregnant women, it is recommended to be regularly monitored and treated in a timely manner.
• In case the pregnant woman has a narrow pelvis, gives birth several times, the height of the uterus is about 34 cm, so choose hospitals that give birth on the upline.
• It is not recommended to give birth too close to each other and give birth to too many children. Mothers who have had a cesarean section if they want to continue their pregnancy should wait 3-5 years.

When there are symptoms of abdominal pain and abnormal vaginal bleeding, the pregnant woman needs to go to the doctor immediately to be diagnosed with what the complications are and take timely measures. Often when the threat of rupture of the uterus is detected and handled can still save the mother and fetus. But if the uterus has ruptured the fetus will die and if not treated in time, the pregnant woman may also die.

With the desire to bring comprehensive care and equip the process of scientific management of obstetric accidents, Share99 International Health Hub has brought a full maternity care program for women from the beginning of pregnancy from the first months with a full range of pregnancy examinations, 3D, 4D ultrasounds, ultrasound screening for fetal malformations periodically and routine tests to ensure the health of both mother and fetus.

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