Uterine rupture (mechanism of disease)

This is a flowchart on uterine rupture, covering the etiology, pathophysiology, and manifestations.
ADDITIONAL TAGS:
Fetal macrosomia
Risk factors / SDOH
Cell / tissue damage
Structural factors
Uterine rupture
Medicine / iatrogenic
Infectious / microbial
Biochem / metabolic
Immunology / inflammation
Signs / symptoms
Tests / imaging / labs
Environmental
Reproductive pathology
Flow physiology
Pathophysiology
Etiology
Manifestations
Prior cesarean delivery
Massive force of contractions (e.g., during active labor)
Uterine rupture: tear in the muscular wall of the uterus
Uterine distension
Uterine scar
Prior myomectomy (e.g., for fibroids)
Multiple gestations
Oxytocin overdose
(Fetal malpresentation →)
delay in labor progression
Postterm pregnancy
Induction of labor
Maternal age 35 years
Interdelivery interval 16 months
History of spontaneous abortion
Motor vehicle collision
Iatrogenic damage to uterus
Trauma
Severe abdominal pain
Increased contractions, then hyperactive labor
Bandl ring: muscular ring that can be seen above the belly button due to the powerful contractions of the upper uterine segment
Creator: Internet Archive Book Images
Severe abdominal pain
Fetal distress (most reliable sign)
Signs of imminent uterine rupture:
Sudden pause in contractions
Loss of fetal station
Palpable fetal parts
Abdominal bleeding
Signs of uterine rupture:
Hemodynamic instability
Light to moderate vaginal bleeding
Subdiaphragmatic irritation → referred pain to shoulder
By Khcnrc01 - Own work, CC BY-SA 4.0, commons.wikime...

[@leutrimzeqiri650]

pefect presentation!

[@reemalaraibi8188]

great explanation, thanks

[@aishaahmad1291]

Very educative! Thank you sir

[@seidibrad]

nice explanation, thank you sir!

[@cyj6738]

You're so smart