MCQ Obstetrics Answer 18
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Fetal distress has proven to be the most reliable clinical symptom of uterine rupture. The "classic" signs of uterine rupture such as sudden, tearing uterine pain, vaginal hemorrhage, and loss of uterine tone or cessation of uterine contractions are not reliable and are often absent. Pain and bleeding occur in as few as 10% of cases. Even ruptures monitored with an intrauterine pressure catheter fail to show loss of uterine tone. Signs of fetal distress are often the only manifestation of uterine rupture.
Ref: Toppenberg KS, Block W A Jr: Uterine rupture: What family physicians need to know. Am Fam Physician 2002; 66(5):823-828.
Tags: MCQ, Obstetrics, Fetal Distress
Category: Obstetrics MCQs
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