Book
Procedural Manual For Delivery Cases
- Uterine Rupture
Uterine rupture can occur in the later stages of pregnancy or during a difficult delivery if not addressed immediately.
Causes of Uterine Rupture:
- Use of uterine stimulants without proper monitoring.
- Pressure on the uterus or abdomen during delivery.
- Multiple previous pregnancies (more than five).
- Mismatch between fetal head size and pelvic size.
- Abnormal fetal position, such as a posterior vertex.
- Uterine tumors or fibroids blocking the baby’s descent.
- Birth defects or twin pregnancies.
Signs of Impending Uterine Rupture:
- Severe lower abdominal pain due to strong, continuous uterine contractions.
- Mild vaginal bleeding.
- Difficulty distinguishing fetal parts due to the tight contraction of the uterus.
Signs of Actual Uterine Rupture:
- Sudden and intense abdominal pain, followed by cessation of uterine contractions.
- Shock symptoms due to bleeding.
- Fetal parts may be palpable upon abdominal examination.
- Vaginal bleeding, and the cervix may be dilated with visible uterine rupture.
Nursing Care for Uterine Rupture:
- Nurses play an essential role in identifying warning signs and preventing uterine rupture.
- In case of rupture, two IV cannulas should be inserted, fluids should be administered, and blood transfusions should be prepared.
- Emergency management should be carried out, and the patient should be prepared for exploratory surgery as per medical instructions.
