Theoretical-Based Pathophysiology

Pathologic retraction ring occurs, strong uterine contractions without cervical dilation

Tearing sensation

Complete Rupture

Incomplete Rupture
Rupturing of endometrium, myometrium, and perimetrium Uterine contraction stops

Rupturing of the endometrium and myometrium

Swelling of the abdomen: *Retracted uterus *Extrauterine fetus Localized tenderness and persisting aching pain over the area of the uterine segment

Hemorrhage from the uterine arteries

Bleeding into the peritoneal cavity

Bleeding to the vagina
Decreased blood volume

Decreased cardiac output Heart attempts to circulate remaining blood volume

Decreased BP

Decreased venous return

Increased gas exchange to oxygenate better the decreased blood volume

Vasoconstriction of peripheral blood vessels

Increased RR

Continued blood loss

Cold, clammy skin

Uterine perfusion is decreased

Dangering mother and fetus

Fetal distress

Hysterectomy