The uterus ruptured at 32 weeks. Rupture of uterus is a disease that many female friends will get. This disease is very harmful to women's health and is likely to cause life-threatening postpartum bleeding symptoms. Let's look at the 32-week uterine rupture.
Massive abdominal bleeding and severe abdominal pain will occur within 32 weeks 1 short time after uterine rupture. Pregnant women who are pregnant for 32 weeks must go to the hospital in time if they find this situation. Because in the third trimester, premature delivery is easy to occur. If the abdomen is abnormal, go to the hospital for examination in time to rule out the possibility of premature delivery, then it should be uterine rupture.
Whether it is because the fetus is too large or the pregnant woman is a scar uterus, the uterine wall is thin in the late pregnancy, which is prone to uterine rupture and dystocia, which may lead to fetal death and even maternal death. When pregnant women are 32 weeks pregnant, they must be admitted to the hospital in time once they find signs of uterine rupture, and they should be operated as soon as possible according to the degree of uterine rupture.
If a pregnant woman goes to the hospital for diagnosis of uterine rupture, the doctor will arrange caesarean section to take out the fetus as soon as possible, and then perform another operation according to the different degree of uterine rupture. If the degree of uterine rupture of pregnant women is relatively large, it is necessary to remove the uterus after taking out the fetus. If the degree of uterine rupture is not too serious, then after taking out the fetus, you only need to repair the suture and pay attention to rest.
Rupture of uterus at 32 weeks. Rupture of uterus in the second week of pregnancy is very dangerous and should be sent to the hospital as soon as possible. The common causes of uterine rupture at 32 weeks of pregnancy are cesarean section history, uterine surgery history and uterine malformation.
1, cesarean section history: uterine rupture occurred at 32 weeks of pregnancy, and the most common reason was previous cesarean section. The more times of cesarean section, the worse the scar elasticity, the thinner the scar, and the greater the possibility of uterine rupture before term.
2. History of uterine surgery: Although some pregnant women have not had cesarean section, they have had myomectomy, hysterectomy, hysteroplasty and many induced abortions before pregnancy, and uterine surgery has caused scars or injuries to the uterus, which is also easy to cause local thinning of the uterus, leading to uterine rupture at 32 weeks of pregnancy;
3, uterine malformation: if pregnant women have uterine malformations, such as single horn uterus, saddle uterus, uterine mediastinum and so on. It is also easy to cause small uterine cavity volume and uneven stress after pregnancy, which may lead to uterine rupture at 32 weeks of pregnancy.
Once the uterus ruptures at 32 weeks of pregnancy, an emergency caesarean section is needed. If the uterine rupture is small and can be rescued in time, then the fetus still has a chance to survive. If the uterus is broken and the fetus has reached the abdominal cavity, in this case, most of the fetus has died, so it is mainly to rescue the pregnant woman. If the uterus can be actively and effectively stopped bleeding and repaired during the operation, the uterus will be preserved as much as possible. However, if there is massive bleeding after uterine rupture, which endangers the life safety of pregnant women, in order to save the life of pregnant women, the uterus has to be removed.
What about 32 weeks of uterine rupture?
Once there are signs of uterine rupture, rescue measures should be taken immediately. In order to prevent the fetus from being in danger, the first measure is to prevent the uterus from contracting violently, end the delivery by cesarean section as much as possible, and inject Demerol. Some pregnant women will be accompanied by hemorrhagic shock when they have uterine rupture. If the baby in the fetus dies unfortunately, it must be taken out in time and then transfused. This can at least ensure the safety of pregnant women.
After dealing with the emergency, it is necessary to take surgical repair according to the specific situation. Generally speaking, uterine rupture can be repaired if there is no obvious infection at the edge of the rupture. In order to prevent future pregnancy from sequela or danger, if it is not the first pregnancy and the previous delivery is smooth, the doctor will suggest tubal ligation. In more severe cases, subtotal hysterectomy may be required. Therefore, expectant mothers should be careful in the whole process of pregnancy, and seek medical advice in time if they feel unwell.
According to the general situation of the parturient, the length of rupture time, the location and size of rupture, infection and other factors to determine the surgical method. If the pregnant woman is young, childless, the rupture time is less than 12 hours, the rupture edge is neat and there is no obvious infection, it is feasible to repair the uterine rupture, and if there are children, tubal ligation is also performed. If the laceration is large or there are many tears, the infection may be large, and subtotal hysterectomy should be considered.
Subtotal hysterectomy should be considered for patients with lower uterine segment rupture, and bladder, ureter, cervix and vagina should be carefully examined, and laceration should be repaired at the same time. If the maternal bleeding is more, the situation is worse, but the rupture and infection are not serious, only fissure repair can be done. If it is traumatic and superficial incomplete uterine rupture in the third trimester of pregnancy, it is feasible to continue pregnancy to term after uterine repair under close observation. Large doses of effective antibiotics should be given to prevent infection after uterine rupture. In case of severe infection, drainage tube should be placed after operation to facilitate wound healing and increase maternal nutrition, so as to facilitate postoperative rehabilitation.