Paedadvanced
Place the following steps in the correct chronological order when responding to suspected uterine rupture during a trial of labor after cesarean (TOLAC):
Answer
Recognize acute clinical indicators of uterine rupture (e.g., sudden fetal bradycardia, acute localized abdominal pain), Call for immediate multidisciplinary emergency assistance (obstetrician, anesthesia, neonatal, and theater teams), Stop any oxytocin infusion and initiate maternal hemodynamic resuscitation with IV fluids, Transfer urgently to the operating theater for emergency laparotomy and delivery
Explanation
The lecture emphasizes vigilance, continuous fetal monitoring, team notification, and readiness for emergency CS. The precise treatment sequence depends on the clinical emergency and local protocol; the items test recognition and coordinated response rather than a detailed operative algorithm. **Key takeaway:** Recognize early and mobilize the team promptly. **Glossary:** **FHR**: fetal heart rate.
Related Questions
- The surgical removal of a fetus via an incision through the abdominal and uterine walls prior to the period of fetal viability (traditionally before 28 weeks of gestation) is defined as a ______.(basic)
- Arrange the procedural steps of a standard cesarean delivery in the correct chronological order from first to last.(intermediate)
- In obstetrics, surgical delivery of a fetus through an abdominal and uterine incision prior to the age of fetal viability is termed a hysterotomy rather than a cesarean section.(basic)
- Explain the lecture's definition of CS and distinguish it from hysterotomy.(basic)
- What target range did the World Health Organization (WHO) historically propose as the optimal population-level caesarean section rate?(intermediate)
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