C Section Rupture
Most uterine ruptures in resource rich countries are associated with a trial of labor after cesarean delivery tolac.
C section rupture. A uterine rupture is more likely to occur in women who have had a classical c section or a vertical c section. It causes a mother s uterus to tear so her baby slips into her abdomen. A c section might increase your risk of developing a blood clot inside a deep vein especially in the legs or pelvic organs deep vein thrombosis.
If a blood clot travels to your lungs and blocks blood flow pulmonary embolism the damage can be life threatening. A uterine rupture occurs when a weakened spot on your uterine wall almost always the site of a previous uterine surgery such as a c section or fibroid removal tears due to the strain put on it during labor and delivery. The vast majority of uterine ruptures occur during labor but they can also happen in late pregnancy.
Rarely mothers will require blood transfusions or even a hysterectomy if the blood loss is excessive or the tear cannot be repaired. Serious but rare a rupture will prompt an immediate c section followed by surgical repair of your uterus. Separation of the scar is more common than having the uterus rupture and it rarely causes any problems.
An overview with any scar on the uterus there is a risk that it may separate during pregnancy and labor. The cesarean section optimal antibiotic prophylaxis c soap trial was a double blind pragmatic randomized clinical trial conducted at 14 hospitals in the united states. If a labor and delivery unit allowed 1000 women to vbac this would result in 7 ruptures.
The risk of uterine rupture is low 7 9 in women who elect to have a vaginal birth after a prior c section vbac. This topic will review clinical findings risk factors prediction and management of uterine rupture in women attempting tolac. Uterine rupture is a life threatening pregnancy complication for both mother and fetus.
However a uterine rupture can result brain damage to the baby or in the death of the mother baby or both. In a complete rupture the tear goes through all layers of the uterine wall and the consequences can be dire for mother and baby. Uterine rupture is a rare but serious childbirth complication that can occur during vaginal birth.