lower abdominal pain

Pathological uterine contraction complex ring formation

Difficulty urinating and hematuria

fetal heart rate changes

incomplete uterine rupture

complete uterine rupture

Pay attention to collect past and current medical history related to uterine rupture

Assess the intensity of maternal uterine contractions, duration intervals, location and nature of abdominal pain; whether there is difficulty urinating or hematuria

Assess the psychological status of the mother. The uterine rupture is critical and the pain is severe. The mother often feels restless, fearful, and anxious.

History and clinical manifestations

Auxiliary inspection

threatened uterine rupture

Uterine rupture

Closely observe the progress of labor, promptly discover the triggers of milk powder, and monitor changes in fetal heart rate.

During labor, when excessive uterine contractions, tenderness in the lower abdomen, or pathological contraction rings appear in the abdomen, the doctor should be reported immediately and the use of uterotonics should be stopped, and the maternal vital signs should be closely monitored.

Follow the doctor's instructions to quickly provide infusion, blood transfusion, and oxygen inhalation; timely supplement electrolytes and alkaline drugs, correct acidosis and electrolyte imbalance, and actively fight shock.

Quickly prepare for surgery

Closely observe and record vital signs and fluid intake and output

Comfort mothers and their families

For mothers whose fetuses have died, listen carefully to their inner feelings. Help him adjust his emotions, accept reality, and get through the grief stage

Provide a comfortable environment for postpartum women, provide daily care and companionship, and encourage them to eat and regain their strength

Provide mothers with rest and recuperation plans during the lactation period and provide contraceptive guidance