Abstract:

With the increase of caesarean section rates, and opening two-child, three-child policy, the number of pregnant women with scarred uterine is gradually increasing. The incidence of pregnancy complications, especially rupture of uterus is increasing year by year. Rupture of uterus is a serious complication of pregnancy in obstetrics, if not clearly identified, mishandled, can lead the pregnant women and fetuses to death. In this case, a pregnant woman with rupture of uterus at 14⁺² w, went into hemorrhagic shock and disseminated intravascular coagulation(DIC). Exploratory laparotomy was performed while shock and DIC were corrected by transfusion and infusion, she improved and was discharged from hospital without serious complications. By reviewing the patient′s pregnancy and the treatment process, summarizing experience, strengthening clinicians′ cognition of such diseases and familiarity with related diagnosis and treatment plans, we can early identify rupture of uterine and timely perform operation, in order to reduce the possibility of emergency and critical conditions for patients.

Key words: Uterine rupture, Cicatrix, Cesarean section, Shock, hemorrhagic, Disseminated intravascular coagulation, Case reports