During labor there are spasmodic contractions of the uterus. Rarely, there may be a sharp, ripping sensation in the upper and lower abdomen during these contractions. The uterus becomes ruptures. Bleeding into the abdomen may occur and the fetus may be extruded from the uterus.
Causes of Ruptured Uterus
Rupture of the uterus may be caused by cephalopelvic disproportions, instrumentation used during delivery, trauma and fetal malposition. Previous cesarean section is a risk factor.
Signs and Symptoms of Ruptured Uterus
Rupture of the uterus is heralded by sudden, severe, ripping pain in the upper and lower abdomen. This occurs during the course of labor. Contractions of the uterus suddenly stop. Diffuse abdominal pain and swelling may occur as bleeding into the abdominal cavity occurs. Blood irritating the diaphragms may produce shoulder pain. Shock and anemia may occur leading to shortness of breath, weakness, rapid heart rate and pallor.
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Medical Content Last Updated on 07/12/2008
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