Uterine rupture
| Classification according to ICD-10 | |
|---|---|
| O71.1 | Uterine rupture during childbirth |
| ICD-10 online (WHO version 2019) | |
The uterine rupture (or uterus plan ) is a tearing of the uterus usually during birth . The frequency is about 1: 1500 births.
causes
The most common cause is previous surgery on the uterus. Spontaneous ruptures can occur in malformations such as bicornuate uterus , positional anomalies or in the case of disproportion and contractions . Traumatic ruptures of the uterus can occur with strong external force.
to form
A distinction is made between the complete uterine rupture, in which the child lies in the abdominal cavity, and the covered uterine rupture, in which there is a dehiscence of a uterine scar without an open connection to the abdominal cavity.
Symptoms
Symptoms of the impending rupture are an increase in the frequency of labor up to a storm of labor, internal restlessness and anxiety, as well as severe tenderness in the lower uterine segment . The birth arrests and the Bandl-Ring rises above the navel. Blood can be seen in the urine ( hematuria ).
If a rupture has occurred, the child's heart rate drops and labor suddenly stops. The patient has a feeling of being torn apart. The loss of blood leads to signs of shock ( tachycardia , hypotension , pale, cold and sweaty skin, increasing clouding of consciousness). Vaginal bleeding can be seen. The child can be felt under the abdominal wall.
therapy
Therapy includes immediate intravenous tocolysis and an emergency caesarean section .
source
- Henning Schneider , Peter Husslein : Obstetrics. Practice orientation, examination knowledge, connections . Springer Verlag, Berlin 2004, ISBN 3-540-44032-1 .
