Wednesday, May 23, 2012

MSF Blog: Rupture

The fifth blog post in my MSF blog, Love, Labor Loss.


When I examine the patient, I can feel the baby’s limbs so close to the skin. I look with the ultrasound, and I don’t see any uterus around the baby. I also see liquid blood around the baby. It is very indicative of uterine rupture. 
 Uterine rupture is a catastrophic complication in which the force of the contractions is too strong for the uterine muscle, and the tissue literally bursts open. It looks as if the uterus has exploded. The infant is released into the abdominal cavity, and the placenta usually is too, which means that the fetus dies within minutes. The bleeding can be so severe that the woman herself can die before reaching help, so the fact that this woman is alive at all is a positive sign.



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