Top
30
Doctor insights on: Causes Of Uterine Rupture

Share
1

1
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

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

Dr. Walter Husar
36 Doctors shared insights

Uterine Rupture (Definition)

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 ...Read more


2

2
What is uterine rupture?

What is uterine rupture?

Bad complication: During labor when uterine muscle contract it can rupture because the force is very strong. Chances of rupture are higher after a cesarean because the scar tissue is not as strong as normal tissue. ...Read more

3

3
What is a uterine rupture?

What is a uterine rupture?

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 more

4

4
Can you die from uterine rupture?

Can you die from uterine rupture?

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 more

5

5
Why would ther be uterine rupture?

Why would ther be uterine rupture?

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

6

6
Are some people more prone to getting uterine rupture?

Are some people more prone to getting uterine rupture?

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

7

7
What is the definition or description of: uterine rupture?

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 more

8

8
Have you had a successful birth after a uterine rupture?

Have you had a successful birth after a uterine rupture?

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

9

9
What happens if a woman is at risk for uterine rupture as all repeat c sections are but uterine rupture is very rare?

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 in 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

10

10
How risky is a uterine rupture during labor?

How risky is a uterine rupture during labor?

Extremely: Uterine rupture is a very serious complication of labor, but fortunately very rare. ...Read more

12

12
Vbac== is it safe to have one or there is a risk of uterine rupture?

Vbac== is it safe to have one or there is a risk of uterine rupture?

Discuss with OB: I think you are asking if a vaginal delivery is safe after having had a prior c-section. The clinical thinking on this has changed in the past several years, and you should certainly discuss this at some length with the doctor who is going to delivery the baby. Have a good delivery and a great baby. ...Read more

13

13
This will be my first vaginal delivery and I am afraid of a uterine rupture. What can I do?

This will be my first vaginal delivery and I am afraid of a uterine rupture. What can I do?

Any risk factors?: You shouldn't worry unless you have risk factors for rupture. This includes any uterine surgery, c-sections, types of incisions in the uterus, malformations of the uterus, large fibroid tumors, or prolonged and/or excessive uterine contractions in labor (to name a few). Your OB will keep you safe in labor & you should discuss any risk factors for rupture with your OB & deliver in a safe hospital. ...Read more

14

14
I have been doing some research on vbac. If the percentage of uterine rupture is so low, why does it seem like doctors still do not prefer to perform them?

Risk: Many doctors still do vbac with proper council. The risk of uterine rupture is about 1% for spont. Labor, 2% for augmented labor and 4% for induced labor. This is low. The concern is the consequence of uterine rupture. 50% catastrophic results, loss of mother, loss of baby or lifetime neurological injury to baby! Many but not all couples are willing to accept those risks. ...Read more

15

15
What does it mean by uterine rupture when you took cytotec (misoprostol)?

What does it mean by uterine rupture when you took cytotec (misoprostol)?

May be causative.: Misoprostol (cytotec) has been linked to uterine rupture when used to induce labor in women with prior uterine scars (e.G prior cesarean section or myomectomy), and acog recommends avoiding it in such cases. ...Read more

16

16
How long has a patient that has a uterine rupture during labor typically been laboring before the rupture occurs?

How long has a patient that has a uterine rupture during labor typically been laboring before the rupture occurs?

Usually hours: Uterine rupture occurs in about 1% of women without prior uterine surgery, e.g. C-section and in 2% with previous low segment transverse c-section. When it occurs, it is generally after several hours to days of labor, but can occur earlier. If you have had previous uterine surgery, you should present to the labor unit as soon as you feel you are in labor. Please ask you OB doc for specifics. ...Read more

18

18
How common is uterine rupture and is it always fatal?? I've had 1 vertical c-section and 2 horizontal, I'm not worried.

How common is uterine rupture and is it always fatal?? I've had 1 vertical c-section and 2 horizontal, I'm not worried.

2%: The uterine rupture rate is about 1% in women with no uterine scars and 2% in those with previous uterine surgery and slightly higher in multiple surgeries. It is rarely fatal to the mother, but can be for the fetus. The type of incision in the uterus is the critical factor, not the direction of the scar on the abdomen. ...Read more

19

19
What are the statistics on fetal demise and permanent damage to baby with uterine rupture/vbac? Not risk %. Actual statistics

What are the statistics on fetal demise and permanent damage to baby with uterine rupture/vbac? Not risk %. Actual statistics

1/700-1/1, 000.: Great question - the numbers are approximately one order of magnitude greater with trial of labor after a cesarean as compared to a repeat prelabor cesarean delivery: 1/1, 000 vs. 1/10, 000. In other words, rarely is the fetus compromised/dies, but repeat cesarean is clearly safer for the fetus. Talk to your OB to decide on the best plan for you, taking into account how many more babies you want. ...Read more

20

20
I'm being advised to terminate due to risk of uterine rupture what are your thoughts? The ultrasound shows a small peri sac bleed on the fundal aspect of the sac

Why???: I am sorry...what is the rationale? If there is no fetal heart beat...understandable. Uterine rupture probably will not occur because of a pregnancy. There is no reason to undergo a termination based on the history given. If your doctor is concerned about said pregnancy....see somebody else. You can carry a pregnancy close to term. Chance of uterine rupture is less than 1%.... ...Read more

21

21
How dangerous is a pregancy after uterine rupture? 1st baby born normally, 2nd c-section, 3rd vbac attempt which resulted in stillbirth.

How dangerous is a pregancy after uterine rupture? 1st baby born normally, 2nd c-section, 3rd vbac attempt which resulted in stillbirth.

High risk pregnancy: Your physician there will know your specifics and if you are even advised to get pregnant again. Many women in your situation are advised against future pregnancies! ...Read more

23

23
Why does my obgyn talk about uterine rupture when I have to have another c-section?

Why does my obgyn talk about uterine rupture when I have to have another c-section?

Increased risk: Women, who have had a previous c/section have an increased risk of experiencing the uterus to tear at the site of the scar than women, who have not had a c/section. ...Read more

24

24
Is a 2nd c sec or a vbac prefered? I have heart probs and took atenolol 1st preg. And what are other risks besides uterine rupture?

Depends: If you had a low transverse c-section, VBAC can be appropriate, and the risk of uterine rupture is low. Be sure to speak with your OB to determine which option is best for you. Hope this helps! ...Read more

25

25
20 weeks preg. Did myomectomy lap remove 2 small fibrds 3×3cm. Now I hav some pain in myo wounds due to stretchng. I fear abt uterine rupture, any danger?

20 weeks preg. Did myomectomy lap remove 2 small fibrds 3×3cm. Now I hav some pain in myo wounds due to stretchng. I fear abt uterine rupture, any danger?

High Complex questn: Your question and suggested diagnosis is good but too complex to answer safely in this forum. See a doctor to discuss details of your case so that the appropriate diagnostics can be performed, depending on the specifics of your condition. ...Read more

27

27
How long does it take to recover from a uterus rupture during labor?

How long does it take to recover from a uterus rupture during labor?

Life threatening: Labor and uterine rupture are often not compatible with life; for the mother or the baby. If this happened to you, and you are asking this question, you had a very good doc. Your recovery will depend on how far down you went, and how many of your organs were affected. Ok to ask your doc and your team the details. ...Read more

28

28
I'm wondering can the uterus rupture if the woman never had a c-section before?

I'm wondering can the uterus rupture if the woman never had a c-section before?

Yes: Uterine rupture can occur from trauma, operative deliveries, in women who have had other previous uterine surgeries, in long labors and in women who have had multiple babies. ...Read more

29

29
Is it possible for someone with a uterus rupture in first pregnancy to have healthy babies later?

Yes: Healthy babies are possible but, in my experience not vaginally. C section is safer although there is some controversy about this. I would never deliver a woman with a history of a ruptured uterus vaginally. Ever. ...Read more

30

30
I was wondering if it would be safe to get pregnant after a uterus rupture. I am 36 with diabetes & three previous csection it's been 4 yrs ago?

High risk: That would be considered a very high risk pregnancy. Age above 35 is one risk. Diabetes is a risk. 3 previous c sections is a big risk. A previous rupture is another. Discuss your individual case with your obgyn. ...Read more

Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more


Rupture (Definition)

When a hollow structure like an blood vessel, a cyst, bladder, bowel, etc bursts we ...Read more