Doctor insights on:
Medicine For Ruptured Uterus
A "ruptured uterus" usually refers to the separation of a previous uterine incision while attempting a vbac (vaginal birth after cesarean). It may also very rarely occur in a normal uterus while inducing labor. It is life-threatening for the mom and the baby. It can result in severe hemorrhaging, infection, need for a hysterectomy and rarely maternal death, lack of oxygen for ...Read more
Ruptured Uterus: I think the biggest sign is fetal distress. If you don't have an epidural then you may feel pain. Sometimes there are not symptoms till it happens. I had a patient that had this catastrophic event and the babies heart rate dropped and never went back to normal. When the baby was delivered it was severely depressed and developed cp. Hope this helps give some personal info. ...Read more
Uterine muscle opens:
A "ruptured uterus" usually refers to the separation of a previous uterine incision while attempting a vbac (vaginal birth after cesarean). It may also very rarely occur in a normal uterus while inducing labor.
It is life-threatening for the mom and the baby. It can result in severe hemorrhaging, infection, need for a hysterectomy and rarely maternal death,
lack of oxygen for the baby may occur. ...Read more
Can implantaion occur sooner when a tube is shortend I have had 8 cesarean deliveries and my sixth resulted from a ruptured uterus and burst bothtubes?
Doubtful...but: Time to implantation won't necessarily be shorter in the scenario you describe; however, I would be worried about an ectopic pregnancy (pregnancy outside the uterus) if you suffered damage to your fallopian tubes during the uterine rupture. If you get pregnant again, you should see your Ob right away to make sure the pregnancy isn't in a tube instead of the uterus. Best wishes! ...Read more
Yes: Pregnancy after uterine rupture requires careful evaluation and management. The cause of hte rupture and the extent of the uterine defect, for instance, are two crucial factors in evaluating obstetric risk. The best clinician to answer this question is your gynecologist, who will be able to give you the information you need after a thorough review of the records pertaining to the uterine rupture. ...Read more
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
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
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
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
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
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
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
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
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
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
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?
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
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
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
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
Very rarely: It is a very rare occurence.Get a more detailed answer ›
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