uterine rupture
Complete separation of all uterine wall layers, representing an obstetric emergency with high maternal and fetal morbidity.
Full Definition
Uterine rupture is a catastrophic obstetric complication involving complete separation of all layers of the uterine wall, including the serosa. This differs from uterine dehiscence, which involves only partial separation of the myometrium with intact serosa. Uterine rupture can occur antepartum or intrapartum, with higher risk in patients with prior cesarean delivery, especially with classical or T-shaped incisions. The condition presents as an obstetric emergency requiring immediate delivery and surgical repair to prevent maternal hemorrhage and death.
Usage
Usage note: Distinguish clearly from uterine dehiscence, which is partial separation without serosal involvement.
In Context
- "Emergency cesarean delivery was performed for suspected uterine rupture with loss of fetal heart rate." — Operative report
- "The patient's history of classical cesarean delivery placed her at increased risk for uterine rupture." — Prenatal risk assessment