Uterine rupture is an emergency situation requiring immediate surgery and delivery of the baby.
Blood transfusion may also be necessary if the patient goes into shock. After the baby has been delivered, the tear in the uterus is repaired to control the bleeding. The physician must also be prepared to perform an emergency hysterectomy (removal of the uterus) if the bleeding cannot be stopped in any other way. Rare complications in the fetus include irreversible brain damage and neonatal death. However, with prompt delivery, the newborn often does well, although resuscitation may be required.
Other abdominal organs, such as the bladder, ureters (the tubes from the kidneys to the bladder), or bowel can be injured during the urgent efforts to save the life of the mother and fetus. In addition, rupture of the uterus can sometimes cause the bladder to rupture.
Because of the risk of repeat rupture, women with previously repaired uterine ruptures are advised not to attempt labor in the future; rather, repeat cesarean section should be performed before the uterus begins contracting.