Uterine Rupture

A. Definition of Uterine Rupture

Uterine rupture is a tear or diskontinuita wall of the uterus due to tensile dilampauinya miomentrium. Uterine rupture is a rupture of the uterine wall during pregnancy or in childbirth with or without tearing perioneum visceral.

B. Etiology of Uterine Rupture

1. History of surgery on the uterine fundus or corpus

2. Induction with oxytocin carelessly or long labor

3. Abnormal presentation (mainly occur in the lower uterine segment thinning).

C. Clinical Signs and Symptoms of Uterine Rupture

• Sharp pain, which greatly lower abdominal contraction while superb peaked.

• Vaginal bleeding (in small amounts or hemorrhage)• There are signs and symptoms of shock, increased pulse rate, decreased

blood pressure and shortness of breath (shortness)• There may be vomiting• Increased tenderness throughout the abdomen• Severe pain in the suprapubic• Hypotonic uterine contractions• The development of labor decreases • Feeling faint• Hematuria (blood urine sometimes)• Progressive signs of shock

D. Classification of Uterine Rupture

• 1. According to the time of thea) uterine rupture Gravidarumb) uterine rupture Durante Partum

2. by locationa) The corpus uterib) the lower uterine segment (SBR) which is the actualc) The cervix uteri

3. According to the tearing of the peritoneum

a). R. u. Kompleta: a tear in the wall of the uterus following peritoneumnya (perimetrium)b) R. u. Inkompleta: uterine muscle tear without being torn peritoneumnya.

4. According to the etiology

a) Spontaneous uterine rupture divided by 2:

1) Due to the uterus wall is weak and flawed2) Due to the extraordinary stretching of the uterus

b) Uterine rupture violentaBecause the actions and other trauma:- Extraction forsipal- Embriotomi- Manual placenta- curettage

G. Management of Uterine Rupture

The first action is to combat shock, improving the general state of the patient by administering intravenous fluids and blood transfusion, kardiotinika, antibiotics, etc.. When you start a good general condition, the next action is to laparotomy with action type of surgery