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 the

a) uterine rupture Gravidarum
b) uterine rupture Durante Partum
2. by location
a) The corpus uteri
b) the lower uterine segment (SBR) which is the
actual
c) 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 flawed
2) Due to the extraordinary stretching of the uterus
b) Uterine rupture violenta
Because 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