Rupture of a neck of uterus

Description:

Rupture of a neck of uterus - disturbance of integrity of a neck of uterus in labor.

Reasons of a rupture of a neck of uterus:

Ruptures of a neck of uterus arise at the time of delivery, and most often it is childbirth which is followed by these or those complications.

The rupture of a neck of uterus is at the time of delivery possible if the large fruit is born or if childbirth happens very quickly.

Besides, the inflammatory and dystrophic processes involving rigidity of a neck of uterus can provoke a rupture of a neck of uterus at the time of delivery.

The rupture of a neck of uterus is possible at operational childbirth when obstetric nippers, vacuum extraction of a fruit, extraction of a fruit the pelvic end, manual department and allocation of an afterbirth are used.

The risk of a rupture of a neck of uterus at age primapara with rigidity of a neck of uterus is increased.

Symptoms of a rupture of a neck of uterus:

The symptomatology of a rupture of a neck of uterus is very individual (depends on a threshold of painful sensitivity of each woman). But first of all the symptomatology depends on degree of ruptures of a neck of uterus. The rupture of a neck of uterus of the I degree usually proceeds asymptomatically. Deeper gaps are shown by bleeding which begins right after the child's birth. Massiveness of bleeding depends on the size of the vessel involved in a gap therefore bleeding can be both insignificant, and rather plentiful. At the same time it is always necessary to remember that small outside bleeding not necessarily testifies to a superficial gap, for example at the gap reaching a vault of the vagina, bleeding can be internal in perimetric cellulose.

Degrees of ruptures of a neck of uterus. The rupture of a neck of uterus meets considerably more often at primapara (27,6%) whereas at multipara women is much more rare (5,3%).

Cases of untimely diagnosis of ruptures of a neck of uterus meet very seldom as each woman in labor is examined after the delivery on mirrors.

Treatment of a rupture of a neck of uterus:

Sew up a rupture of a neck of uterus with catgut seams, as a rule, to two floors: one stitch is put on a mucous membrane of the cervical channel, another – on muscles of a neck of uterus. For mending the neck of uterus special fenestrated or bullet nippers is tightened to an entrance to a vagina and take aside, opposite to a gap. To take in a rupture of a neck of uterus rather difficult, it demands a certain qualification and care of the doctor.

Danger of a rupture of a neck of uterus is connected also with the fact that causes not only bleeding (often plentiful), but also is a source of puerperal ulcers and the ascending infection in a puerperal period. In the course of healing of not sewn up rupture of a neck of uterus hems which promote an ectropion of a neck of uterus, development of pseudo-erosion and other background states for cancer of a neck of uterus are formed.