A 28yo woman at 39wk gestation is in labor. She develops abdominal pain and HR=125bpm,
BP=100/42mmHg, temp=37.2C and saturation=99%. Exam: lower abdomen is exquisitely tender.
CTG=prv normal, now showing reduced variability and late deceleration develops with slow
recovery. She has had 1 prv LSCS for a breech baby. Choose the most appropriate CS
complication for this lady?
c. Urinary tract injury
e. Uterine rupture
Ans. The key is E. Uterine rupture. [Features of shock, exquisitely tender lower abdomen with abdominal pain, previously normal CTG now becoming non-reassuring and previous history of LSCS makes the diagnosis of uterine rupture].