Uterine rupture — DRCOG MCQ

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HardLabourUterine ruptureDRCOG

During labour after a previous caesarean birth, a woman develops sudden constant abdominal pain, fetal bradycardia and loss of station. What complication is most likely?

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Correct answer: A — Uterine rupture

The best answer is “Uterine rupture”. The combination of previous uterine scar, acute pain, persistent fetal heart-rate abnormality and loss of station is highly concerning for uterine rupture. Immediate obstetric escalation and urgent birth are required; a pathological CTG is often the earliest or most consistent sign.

Reference: RCOG Green-top Guideline No. 45: Birth after previous caesarean birth: https://www.rcog.org.uk/media/kpkjwd5h/gtg_45.pdf