How to deal with uterine rupture during natural delivery? In recent years, uterine rupture has gradually become a concern of pregnant women. There are many reasons for uterine rupture, whether it is multiple births or other diseases. Let's take a look at how to deal with uterine rupture during natural delivery.

What should I do if the uterus ruptures during normal delivery? Rupture of uterus refers to the rupture of uterine body or lower uterine segment in the third trimester of pregnancy or during delivery, which is a serious obstetric complication and directly threatens the life of parturient and fetus. The incidence of uterine rupture is different in different countries and regions. Between1:18500-1:3000, the incidence of uterine rupture can be significantly reduced by strengthening prenatal examination and improving obstetric quality. Therefore, the incidence of uterine rupture is one of the standards to measure the quality of obstetrics, which often threatens the life of mother and baby.

Spontaneous uterine rupture is rare, which mostly occurs in patients with cesarean section and uterine surgery. The incidence of scar tissue rupture of traditional (longitudinal) cesarean section is about 4 times that of uterine transection, so if the former fetus adopts traditional cesarean section, the latter fetus is not encouraged to give birth naturally. These high-risk patients will be safer if they can give birth in a large-scale and well-equipped hospital. Once there is a problem, there is sufficient medical manpower and equipment support. In addition, it must be closely monitored in the production process, and it can be handled in time when there are signs of danger.

Rupture of uterus is often accompanied by severe bleeding and infection. Blood transfusion should be given before operation, sodium lactate should be given, anti-shock treatment should be actively carried out, and large doses of broad-spectrum antibiotics should be used to control infection during and after operation.

How to treat uterine rupture?

(1) General treatment: Uterine rupture is often accompanied by severe bleeding and infection. Blood transfusion should be given before operation, sodium lactate should be given, and anti-shock treatment should be actively carried out. Large doses of broad-spectrum antibiotics should be used to control infection during and after operation.

(2) Surgical treatment: threatened uterine rupture: When threatened uterine rupture is found, immediately give drugs to inhibit uterine contraction, such as inhalation or intravenous general anesthesia, intramuscular injection or intravenous injection of sedatives, such as pethidine 100mg, and perform cesarean section as soon as possible. If the fetal heart exists, cesarean section will be performed as soon as possible, and it is expected to obtain a live fetus.

Surgical treatment of uterine rupture;

The time of uterine rupture was within 65438 0.2 hours, and the rupture edge was neat without obvious infection. If it is necessary to preserve the reproductive function, it may be considered to repair the broken suture.

If the rupture is large or the tear is irregular and there is a possibility of infection, consider subtotal hysterectomy.

The uterine fissure is not only in the lower segment, but also extends from the lower segment to the cervix. Consider total hysterectomy.

If the scar of the previous cesarean section is split, including the uterine body or the lower uterine segment, if the pregnant woman has a live fetus, it should be split and sutured, and bilateral tubal ligation should be performed at the same time.

When there is a huge hematoma in the broad ligament, in order to avoid damaging the surrounding organs, it is necessary to open the ligament, free the ascending branch of uterine artery and its accompanying vein, and push the ureter and bladder away from the tissue to be clamped, so as not to damage the ureter or bladder. If there is still active bleeding during the operation, the ipsilateral internal iliac artery can be ligated first to control the bleeding.

Pay attention to the site of uterine rupture during laparotomy, and carefully check the bladder, ureter, cervix and vagina. If any damage is found, these organs should be repaired at the same time.

For some neglected cases with long labor process and serious infection, in order to save the life of the parturient, the operation time should be shortened as much as possible, and the operation should be as simple and quick as possible to achieve the purpose of hemostasis. Whether you can do total hysterectomy or subtotal hysterectomy or only suture of fissure and bilateral tubal ligation depends on the specific situation. Use large doses of effective antibiotics before and after operation to prevent infection.

Those who have been in shock due to uterine rupture should be rescued on the spot as much as possible to avoid aggravating shock and bleeding due to handling. However, if it is necessary to transfer to hospital due to local conditions, it should also be transferred to hospital under the conditions of massive infusion, blood transfusion, anti-shock and abdominal dressing.

Therefore, uterine rupture is no trivial matter, and the consequences are unimaginable. Expectant mothers must remember the above prevention methods and try to avoid uterine rupture from happening to themselves. In addition, expectant mothers need not be too nervous. As long as they have regular check-ups during pregnancy, listen to the doctor's instructions, pay attention to rest and eat healthily, I believe they will give birth to healthy babies.

What about uterine rupture during childbirth? What are the symptoms of uterine rupture?

Uterine rupture is mostly caused by obstructive delivery, that is, delivery is blocked during delivery, resulting in abnormal uterine contraction and uterine rupture. The rupture site is mostly in the lower uterus. In general, the probability of uterine rupture is small, but it needs to be rescued in time to avoid accidents.

Symptoms of uterine rupture are divided into threatened rupture and uterine rupture. Threatened rupture, that is, after labor, the labor process is prolonged and the decline of fetal presentation is blocked. Intense uterine contraction makes the lower end of the uterus gradually elongate and thin, and the uterine body thickens and shortens, forming an obvious annular depression between them. At this time, the parturient will feel severe pain in the lower abdomen and dysuria, accompanied by dyspnea and even breathlessness. This cycle is very likely to rupture the uterus. Uterine rupture can be divided into complete rupture and incomplete rupture. The main symptoms of complete rupture are: full-thickness rupture of uterine wall. When the rupture occurred, the parturient suddenly felt severe pain, then the contractions stopped and the abdominal pain suddenly eased. At the same time, the parturient will have symptoms of pallor, collapse and even shock.

This is a common symptom of uterine rupture. Everyone can simply understand that it is more important to pay more attention during pregnancy to avoid uterine rupture during childbirth.

Brief introduction of complications of uterine rupture

Uterine rupture is a very serious disease for lying-in women. If we don't pay attention to it, we may even lose the ability to get pregnant again. Now I will introduce the complications caused by uterine rupture, so that everyone can better understand the common sense of uterine rupture.

1, postpartum hemorrhage.

Uterine rupture usually occurs in the process of delivery, which is caused by the obstruction of delivery. If it is serious, postpartum hemorrhage will occur about two hours after delivery, and too much blood will not stop. If not rescued in time, it is very likely to cause excessive blood loss and death.

2. Shocked.

Rupture of uterus will cause severe pain in the lower abdomen of the parturient, and the physical strength consumed during delivery is too large, which makes the parturient unable to breathe and easily leads to maternal shock. Long-term shock can lead to death, so as soon as shock occurs, oxygen should be given in time to fight shock.

3. Fetal death

The cause of uterine rupture is the obstruction of delivery. Generally speaking, the fetus is stuck during childbirth, which leads to the rupture of the uterus. Naturally, if this phenomenon is serious, it is likely to cause dystocia and the fetal mortality rate will increase.

This is the onset of uterine rupture, and it is also a serious consequence of uterine rupture. In order to ensure that you can prevent uterine rupture during delivery, you need to always pay attention to the fetal situation and physical changes during pregnancy, and you must take care of yourself according to the doctor's instructions during prenatal examination.

How to nurse after uterine rupture

1, to prevent wound infection and spread infection.

If the edge of uterine rupture is neat and there is no infection, uterine suture can be used for treatment. If the edge of uterine rupture is irregular and there are signs of infection, the uterus can only be removed for treatment. Therefore, it is important to prevent infection after uterine rupture. If the wound infection is treated, surgery is necessary, which will cause secondary harm to the body.

2. Fully supplement nutrition.

Supplementary nutrition is a part of nursing that must be paid attention to after uterine rupture. In diet, we must have light and nutritious food. In addition to vegetables and fruits on weekdays, proper supplements and nutritional supplements are needed, because the vitality consumed by uterine rupture is great.

The two parts of key nursing are preventing infection and supplementing nutrition. Generally speaking, the probability of uterine rupture is not great, so don't worry too much. It is helpful to have a peaceful mind during pregnancy and a good mind during childbirth. In particular, the current prenatal examination has played a great role in preventing the occurrence of production diseases, so we must attach importance to the work of prenatal examination and remember that it cannot be ignored.