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Uterine Rupture




  • True emergency and potentially disastrous for both mom and baby

  • Requires immediate resuscitation and preparation for emergency surgery, possibly under general anesthesia

  • Pregnancy considerations (difficult intubation, aspiration, quick desaturation, aortocaval compression, 2 patients)




  • Call for help

  • Emergency situation for both mother and fetus

  • Prepare for most likely a general anesthetic for delivery and management.  More stable patients may be managed with spinal or pre-existing epidural

  • Resuscitation needs to be initiated ASAP with the preparation for possible massive transfusion.  Will need:

    • Large bore IV access and possibly a central line

    • Arterial line monitoring

    • Availability of blood products


  • Banayan JM, Hofer JE, Scavone BM. Antepartum and Postpartum Hemorrhage. In: Chestnut DH, Wong CA, Tsen LC, et al, editors. Chestnut's Obstetric Anesthesia: Principles and Practice. Sixth Edition. Philadelphia, PA: Elsevier; 2020. p. 901-936

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