Uterine rupture mainly refers to the rupture of a woman's uterine body or lower segment during pregnancy or childbirth. This is a serious complication that directly threatens the mother's life. What are the reasons for uterine rupture? You can follow the editor to learn more.
What are the causes of uterine rupture?
1. Obstructive dystocia
Obstructive dystocia is the most common factor causing uterine rupture, usually occurring in the lower segment of the uterus. When a pregnant woman has a narrow pelvis, abnormal birth canal, abnormal fetal position, or pelvic tumor, it can hinder the exposure of the fetal head. In order to overcome the resistance, the uterus strengthens its contraction, causing the lower segment of the uterus to be forced to elongate and thin, ultimately causing uterine rupture.
2. Rupture of uterine scar
Cesarean section, uterine malformation correction surgery, uterine rupture or perforation repair surgery can cause uterine scar rupture. The main reason is that during pregnancy, women's uterus is pulled and eventually causes scarring. If the endometrium at the scarring site is damaged, the placenta will also be implanted, ultimately causing spontaneous rupture of the uterus.
3. Abuse of uterine contractions
The indiscriminate use of substances that stimulate uterine contractions can cause uterine rupture, mainly due to the use of excessive medication and the speed of administration, immature cervical development in pregnant women, incorrect fetal position, and lack of careful observation during administration.
4. Pathological changes in the uterus itself
If a woman experiences multiple curettages, infection during miscarriage, or a history of raisins, the endometrium may be damaged. After pregnancy, the placenta may be transplanted or penetrated, and the uterus may rupture.
5. Vaginal midwifery surgery injury
When women give birth, if the uterine opening is not fully opened, forcing forceps and hip traction surgery can cause uterine rupture, which can damage the lower part of the uterus and ultimately cause uterine rupture.
How to diagnose uterine rupture?
When the uterus ruptures, the patient experiences pain and pressure in their lower abdomen. When they go to the hospital for vaginal examination, it is found that the patient's uterine opening has shrunk. In addition, during severe placental abruption, the patient experiences severe abdominal pain and vaginal bleeding. Ultrasound examination reveals a hematoma behind the placenta, with the fetus in the uterine cavity.
Kind reminder
There are many reasons for uterine rupture, and treatment should be based on different symptoms. Patients should not have too much psychological burden and maintain a calm attitude. They should choose a regular hospital for delivery, and if necessary, they can accept a cesarean section to reduce the harm to the uterus.