Abnormal labour ( cont.)
Labour with previous uterine surgery
By
Asmaa kadhim
Uterine surgery could be
• Cesarean section ( transverse. &. classical )
• Myomectomy. For uterine fibroid
• Metroplasty for correction of uterine anomaly
• Surgery may or may not include full uterine wall thickness
Cesarean section
Myomectomy
Metroplasty
Uterine rupture
Diagnosis
• Intrapartum signs and symptoms
• Postpartum in case of primary post partum heamorrhage
Bandls ring
Surgical treatment of uterine rupture
• Conservative surgery. ( uterine repair )
• Emergency hysterectomy
• Cesarean hysterectomy
• Postpartum hysterectomy
