Uterine rupture

a. Uterine rupture is an infrequent but life-threatening complication. It usually occurs after a direct abdominal impact.

b. Findings of uterine rupture range from subtle (uterine tenderness, nonreassuring fetal heart rate pattern) to severe, with rapid onset of maternal hypovolemic shock and death.

6. Direct fetal injury is an infrequent complication of blunt trauma.

a. The fetus is more frequently injured as a result of hypoxia from blood loss or abruption.

b. In the first trimester the uterus is well protected by the maternal pelvis; therefore, minor trauma usually does not usually cause miscarriage in the first trimester.

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