Doctor insights on:
Causes Of Uterine Rupture
What can cause a uterine rupture? Not pregnant no prior sections ; natural vaginal births 7/9 yrs ago. Ultrasound shows bleed. Info and on profile
Adenomyosis: One consideration is an underlying disease causing weakness of the uterine muscle. One such common disease is adenomyosis. Adenomyosis is essentially endometriosis of the underlying uterine muscle where the endometrial cells infiltrate and weaken the uterine muscle. MRI is the best imaging test to diagnosis it and check for other abnormalities which could be the cause. ...Read more
YES: Uterine rupture can lead to catastrophic hemorrhage & death. It is a risk of pregnancy anytime you've had previous uterine surgery (c-sections, myomectomy), and is something you really need to discuss with your physician if you think you're at risk. If you have risk factors, please no home delivery. ...Read moreSee 1 more doctor answer
Muscle tears: The uterus is a muscle that can rupture, or tear. Most commonly, uterine rupture occurs at the site of scar formation. For example, after a woman has a cesarean section (in which the uterus is opened and stitched back together), a scar will form. This scar in the uterus could tear apart during a subsequent labor, causing uterine rupture. ...Read moreSee 1 more doctor answer
After C-section: The uterus is a muscle that can rupture, or tear. Most commonly, uterine rupture occurs at the site of scar formation. For example, after a woman has a cesarean section (in which the uterus is opened and stitched back together), a scar will form. This scar in the uterus could tear apart during a subsequent labor, increasing the chance of uterine rupture. ...Read more
Uterine rupture: Uterine rupture is a complication of (tolac) trial of labor after a cesarean section. It refers to the opening of the uterine scar during the labor process. It is a rare event that occurs in less than 2% of cases. If it does occur it can be catastrophic for the mother and baby. ...Read moreSee 1 more doctor answer
See long answer: Uterine rupture is a rare event occurring typically with a pregnant uterus often during labor. The uterus literally tears or ruptures. This is both a maternal & fetal emergency. Uterine rupture is more common to occur with a uterus that has been previously scarred, for example a prior c-section or prior fibroid removal. Uterine rupture is the most worrisome complication for women with prior c-s. ...Read more
What happens if a woman is at risk for uterine rupture as all repeat c sections are but uterine rupture is very rare?
Weigh the risk...: The risk of Uterine Rupture is low: .7% - .9% in women who elect to have a vaginal birth after a prior c/section (VBAC). However, a uterine rupture can result brain damage to the baby or in the death of the mother, baby or both. If a labor and delivery unit allowed 1000 women to VBAC, this would result in 7 ruptures. Some patients/doctors are willing to take this risk, some are not. ...Read more
Yes: Via a cesarian section, which would be the safest mode of delivery under these circumstances. The circumstances surrounding the uterine rupture will help to determine if the patient is a safe candidate for conceiving again several years later. Ck with your OB before trying to conceive again, please. ...Read more
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