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  1. #1
    usmlemate is offline Junior Member
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    I got this question

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    G2 P2 with history of lower segment C-section because of footling breech. During labor she present a sudden profuse gush of bright red blood. The fetal head is engaged. Diagnosis. ?
    -Placenta Previa
    -Ruptured uterus
    -Placenta Abruptio

  2. #2
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
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    This is a definite case of ruptured uterus because of her risk factor.

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    Asclepius1's Avatar
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    upture of the uterus is an uncommon condition that could be due to several causes. It sometimes occurs when there has been prior uterine surgery, such as a cesarean section, removal of fibroid tumors, a surgery for an ectopic pregnancy, or reconstruction for an abnormal uterine shape. Injury to the uterus caused by abdominal trauma or as a complication of a prior procedure like a dilation and curettage (D& C) also can weaken the uterine wall and make it more likely to rupture. Rarely, the placenta grows deeply into the uterine wall and weakens it, but it's unlikely that this happened in your case since it would have been readily apparent at delivery. Sometimes, even without any of these risk factors, the uterus can rupture spontaneously. While no one is sure why this occurs, it does seem to happen more often when the mother has been given pitocin or another contraction stimulant.

  4. #4
    Asclepius1's Avatar
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    I think its Placenta Previs

  5. #5
    Asclepius1's Avatar
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    plz!placenta previa of course.rptured uterus does not present as obvious bright bleeding like this.its more of sudden pain,inability to hear fetal heart ,elevation of presenting part.

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    Asclepius1's Avatar
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    agree with placenta praevia. actually the most early and constant symptom indicating rupture uterus is. cessation and stoppage of the uterine contraction!

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