Search our site 
Advanced Search
Home | Exam dates | Contact us | About us | Testimonials |

You are in Home >> Resources >> Clinical anaesthesia >> Obstetric Anaesthesia

Uterine rupture

Created: 24/5/2006
Updated: 26/9/2006

Uterine rupture

Uterine rupture is uncommon but potentially fatal to both mother and baby. The incidence of uterine rupture is 0.05% of all pregnancies, occurring between 1 in 140 to 300 of women with a pre-existing scar. The risk increases with the number of caesarean sections; two previous sections carry a 3 to 5 fold risk over one previous section. The perinatal mortality is ten times that of the maternal mortality.


A spontaneous uterine rupture is very rare and most will occur in a woman with a pre-existing scar. The classical signs are unreliable and one should have a high index of suspicion. Sudden, tearing uterine pain, vaginal bleeding, decreased uterine contractions may be present. The mother may be hypotensive, tachycardiac and develop haematuria. The CTG is likely to show signs of foetal distress.


This is usually clinical, but an abdominal ultrasound may aid the diagnosis, time permitting.


Stop oxytocin
Consider tocolytics, to stop contractions. Beware, many can exacerbate hypotension
Emergency surgery
Follow departmental guidelines for the Emergency treatment of massive obstetric haemorrhage.


[i] Entrez PubMed - Uterine rupture and scar dehiscence. A five year survey

[ii] Entrez PubMed - Uterine rupture

[iii] Perinatal review - Uterine rupture

SiteSection: Article
  Posting rules

     To view or add comments you must be a registered user and login  

Login Status  

You are not currently logged in.
UK/Ireland Registration
Overseas Registration

  Forgot your password?

All rights reserved © 2022. Designed by AnaesthesiaUK.

{Site map} {Site disclaimer} {Privacy Policy} {Terms and conditions}

 Like us on Facebook