Uterine Rupture Top Open Access Journals_

  Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth.Symptoms while classically including increased pain, vaginal bleeding, or a change in contractions are not always present.Disability or death of the mother or baby may result.Risk factors include vaginal birth after cesarean section (VBAC), other uterine scars, obstructed labor, induction of labor, trauma, and cocaine use.While typically rupture occurs during labor it may occasionally happen earlier in pregnancy.Diagnosis may be suspected based on a rapid drop in the baby's heart rate during labor.Uterine dehiscence is a less severe condition in which there is only incomplete separation of the old scar.Treatment involve rapid surgery to control bleeding and delivery of the baby.A hysterectomy may be required to control the bleeding.Blood transfusions may be given to replace blood loss.Women who have had a prior rupture are generally recommended to have C-sections in subsequent pregnancies.Symptoms of a rupture may be initially quite subtle. An old cesarean scar may undergo dehiscence; with the further labor the woman may experience the abdominal pain and  also the vaginal bleeding, though these signs are difficult to distinguish from normal labor.