※ Rupture of the pregnant uterus is a obstetric catastrophe and major cause of maternal death
病因（Etiology)
1、疤痕子宮
➢ 剖宮產再孕、子宮肌瘤挖除術後→子宮壁在妊娠晚期 或臨產後因宮縮牽拉及宮腔壓力增高而發生破裂。
➢Give high dose broad spectrum antibiotics perioperatively to prevent infection
預防（Prevention）
➢ 做好產前檢查，有疤痕子宮、產道異常等高危因素， 應提前入院。
➢ 對前次子宮體部切口、子宮下段切口撕裂、術後感 染癒合不良者，應剖宮產終止妊娠
➢ Type of surgery: decided based on maternal condition, degree of uterine rupture, duration of rupture and degree of infection
➢ Tear repair: neat tear, no obvious infection ➢ Hysterectomy: big tear, irregular tear or obvious
擴張的宮口回縮。
Diagnosis
➢Typical uterine rupture is easily diagnose based in the history, symptoms and signs
➢Incomplete uterine rupture, as signs and symptoms are not obvious, diagnosis is difficult.
