Are uterine rupture serious?

Uterine rupture usually occurs after labor, but sometimes before labor. Uterine rupture may not only cause severe internal bleeding in the pregnant woman herself, but may also affect the fetus and cause serious consequences such as placental abruption.

1. Consequences of uterine rupture

1. For mothers:

"Uterine rupture" may cause severe internal bleeding, resulting in symptoms of severe abdominal pain, rebound pain, and extreme abdominal distension. If the bleeding is not stopped in time, the massive bleeding in the abdomen may cause hemorrhagic shock; or because of the massive bleeding, it may cause systemic coagulation dysfunction, making it difficult to stop bleeding, and even possible postpartum hemorrhage. These situations may endanger the mother's life.

2. For the fetus:

Once the fetus breaks out of the uterus and enters the abdominal cavity, the uterine contraction pressure suddenly disappears, the shape of the uterus changes, and the fetal position changes. The fetal heartbeat may not be heard, or the fetal heartbeat may have irregular late decelerations, and even cause early placental detachment, resulting in fetal distress. If not treated promptly, it may result in fetal death.

Once the diagnosis is confirmed, regardless of whether the fetus is alive or not, surgical treatment should be performed as soon as possible while actively rescuing the shock. The surgical method is determined based on the maternal condition, the extent of uterine rupture, the time of rupture, and the extent of infection. If the rupture edges are neat and there are no obvious signs of infection, the rupture can be repaired.

2. Can you get pregnant if your uterus ruptures?

If the situation is amenable to surgical repair and the recovery is good, pregnancy is possible. Generally speaking, the risk of uterine rupture is higher for women who have had a history of uterine rupture when they become pregnant again. Medically, for people with uterine scars, it is generally considered to be pregnant again 2 years after surgery in China. Before becoming pregnant, they need to go to the hospital to check the recovery of the uterus.