ABSTRACT
The following signs should be of concern in women who are at risk of uterine rupture: cardiotocographic abnormality, haematuria, antepartum haemorrhage, however small, cessation of contractions and Bandle’s retraction ring. The baby should be continuously monitored - if possible a scalp electrode should be placed on the baby’s head/bottom. The theatre is prepared and the team should be ready to commence Caesarean section to deliver the baby as soon as possible. Laparotomy/hysterectomy may be necessary, so theatre staff should be prepared for swift operation. Throughout the management of this very rare and serious obstetric emergency, the woman and her family/friends should be informed of what is happening and why. Two large bore intravenous lines should be inserted, taking bloods for group, cross-match 4 units and clotting studies.
