What is the causative agent or etiology of uterine rupture?

Expert Solution

Uterine Rupture- Is a rare and absolute obstetrical emergency with high maternal and fetal mortality and morbidity.

Causes/Risk factors of Uterine rupture:

Normal delivery after Previous caesarean section – as muscles around scar are weak and may rupture under forceful contraction of normal delivery

Previous uterine surgery – such as myomectomy can make uterine muscles weak and prone to rupture
Excessive use of uterotonics (Prostaglandin, oxytocin) for augmentation of labour can cause forceful and inco-ordinated (too long and too frequent) uterine contraction and increases risk of uterine rupture
Uterine overdistention - by Multiple pregnancy, Polyhydromnios can cause incordinated uterine contraction of overstretched uterine muscles.
Grand Multipara- As the birth order increases the uterus becomes weaker and more prone to rupture
Iatrogenic causes- External and internal fetal version, difficult forcep deliveries. destructive surgeries of fetus

Nightingale answered 2 years ago

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