Uterine Rupture⚡Mnemonic⚡ : 100% Chance You Won’t Forget !

Causes of Uterine Rupture

• Mnemonic: “PRIOR CUT“
  • P: Previous cesarean section
  • R: Rapid labor induction
  • I: Intrauterine manipulation
  • O: Over-distended uterus
  • R: Ruptured membranes
  • C: Congenital uterine anomaly
  • U: Uterotonic drug overuse
  • T: Trauma to abdomen

Triggers for Uterine Rupture

• Mnemonic: “LABOR PUSH“
  • L: Labor (intense)
  • A: Augmentation (excessive)
  • B: Breech extraction
  • O: Oxytocin overuse
  • R: Ruptured membranes
  • P: Previous uterine surgery
  • U: Uterine anomalies
  • S: Scar from previous C-section
  • H: High fetal station

Risk Factors for Uterine Rupture

• Mnemonic: “SCAR DANGER“
  • S: Surgical history (uterine)
  • C: Cesarean delivery (previous)
  • A: Age (advanced maternal)
  • R: Rapid labor
  • D: Distended uterus
  • A: Augmentation of labor
  • N: Nulliparity
  • G: Grand multiparity
  • E: Episiotomy (previous)
  • R: Rupture history

Warning Signs of Uterine Rupture

• Mnemonic: “SUDDEN FEAR“
  • S: Sharp pain in abdomen
  • U: Unusual vaginal bleeding
  • D: Distress (fetal)
  • D: Drop in blood pressure
  • E: Excessive contractions
  • N: Non-reassuring fetal heart rate
  • F: Feelings of tearing
  • E: Excruciating pain
  • A: Abnormal labor progress
  • R: Recession of presenting part

Predisposing Factors of Uterine Rupture

• Mnemonic: “WEAK SCAR“
  • W: Weak uterine wall
  • E: External trauma
  • A: Augmented labor
  • K: Keloid scar formation
  • S: Short inter-pregnancy interval
  • C: Congenital uterine anomaly
  • A: Advanced maternal age
  • R: Previous rupture

Signs & Symptoms of Uterine Rupture

• Mnemonic: “PAIN BREAK“
  • P: Pain (sudden, sharp)
  • A: Abnormal fetal heart rate
  • I: Irregular bleeding
  • N: Nausea and vomiting
  • B: Bradycardia (fetal)
  • R: Recessed fetal head
  • E: Evisceration (rare)
  • A: Abnormal contraction pattern
  • K: Kinetically weak labor

Characteristic Findings in Uterine Rupture

• Mnemonic: “TEAR SIGNS“
  • T: Tachycardia (maternal or fetal)
  • E: Excessive vaginal bleeding
  • A: Abdominal pain
  • R: Recession of the fetal head
  • S: Sudden cessation of contractions
  • I: Intra-abdominal bleeding
  • G: Guarding of abdomen
  • N: Non-progressing labor
  • S: Shock symptoms

What Should Be Avoided in Uterine Rupture

• Mnemonic: “NO PRESSURE“
  • N: No excessive uterine stimulation
  • O: Omitting labor monitoring
  • P: Postponing treatment for pain
  • R: Refraining from cesarean if needed
  • E: Engaging in vigorous physical activity
  • S: Straining during labor
  • S: Skipping prenatal care
  • U: Using contraindicated medications
  • R: Rushing labor progression
  • E: Excessive vaginal examination

Drugs Used to Treat Uterine Rupture

• Mnemonic: “REPAIR MEDS“
  • R: Ringer’s lactate
  • E: Ergotamine (post-delivery)
  • P: Prostaglandins (for uterine contraction)
  • A: Antibiotics (postoperative)
  • I: IV fluids (for volume replacement)
  • R: Rhogam (if Rh-negative)
  • M: Methylergonovine (uterine tone)
  • E: Epinephrine (in case of severe bleeding)
  • D: Diazepam (for anxiety)
  • S: Sedatives (if required)

Drugs to Avoid in Uterine Rupture

• Mnemonic: “NO STIMULANTS“
  • N: NSAIDs (in acute phase)
  • O: Oxytocin (if rupture suspected)
  • S: Syntocinon (if high risk of rupture)
  • T: Tranquilizers (delaying diagnosis)
  • I: IUD (intrauterine devices)
  • M: Misoprostol (if scarred uterus)
  • U: Uterine relaxants
  • L: Lithium (not related but to be avoided)
  • A: Anticoagulants
  • N: Nifedipine (as tocolytic)
  • T: Thrombolytics
  • S: Stimulant laxatives

Radiological Features of Uterine Rupture

• Mnemonic: “BREAK IMAGE“
  • B: Blurred outline of uterus
  • R: Rupture line (if visible)
  • E: Extrusion of fetal parts into abdomen
  • A: Abnormal positioning of fetus
  • K: Kinking of uterine contour
  • I: Intra-abdominal free fluid
  • M: Misplaced placenta
  • A: Absence of normal uterine wall
  • G: Gas in the uterine wall (rare)
  • E: Enlarged uterus

Diagnostic Tests for Uterine Rupture

• Mnemonic: “CHECK FAST“
  • C: CBC (Complete Blood Count)
  • H: HCG levels
  • E: Echography (ultrasound)
  • C: CT scan
  • K: KUB X-ray (Kidneys, Ureter, Bladder)
  • F: Fetal heart monitoring
  • A: Amniotic fluid index
  • S: Sonography
  • T: Tocodynamometer (for contractions)

Laboratory Findings in Uterine Rupture

• Mnemonic: “LAB RESULTS“
  • L: Leukocytosis
  • A: Anemia (due to bleeding)
  • B: Blood urea nitrogen (BUN)
  • R: Rh factor (if Rh-negative, for Rhogam)
  • E: Elevated liver enzymes
  • S: Serum electrolytes
  • U: Urinalysis
  • L: Lactic acidosis
  • T: Thrombocytopenia (if severe bleeding)
  • S: Serum creatinine