Curriculum of Obstetrics
TOPIC 38
RUPTURED UTERUS
RATIONALE
Ruptured uterus is the worst obstetric complication not only because it threatens the womans life, but also because it might deprive her of her reproductive capacity.
GOAL
Acquire the knowledge to understand the causes, clinical picture, types, and treatment of ruptured uterus, concentrating on avoidance and rapid management
LEARNING OBJECTIVES
By the end of this course, the student will be able to:
l Define ruptured uterus and differentiate it from perforation
l Enumerate the causes of ruptured uterus, whether in pregnancy or in labor, and whether spontaneous or induced
l Describe the mechanism of spontaneous rupture in labor
l Mention types of rupture and describe silent rupture and dehiscence
l Describe the clinical picture of ruptured uterus
l Mention the lines of management
l List the complications
l Record signs of shock
l Appreciate rapid intervention
l Appreciate team work
CONTENT
l Definition and incidence of ruptured uterus
l Causes of ruptured uterus during pregnancy and delivery
l Pathology of ruptured uterus
l Clinical picture
l Complications
l Management with special emphasis on preventive measures
