What action should be taken if uterine rupture is suspected during labor?

What action should be taken if uterine rupture is suspected during labor?

• A. Continue labor and monitor.
• B. Notify the team and prepare for emergency cesarean delivery; support mother.
• C. Call the nurse's station to page the family.
• D. Apply external fetal monitor and wait.

Answer: (B)

Uterine rupture is a life‑threatening obstetric emergency, and the fastest way to improve outcomes is to mobilize the team immediately for surgical delivery while stabilizing the mother. If rupture is suspected, you should alert the care team right away and prepare for emergency cesarean delivery, all while providing support to the mother. This means getting the OR ready, informing anesthesia and blood bank, securing IV access, and beginning immediate maternal stabilization (oxygen, fluids, stopping any uterotonic agents if appropriate) and continuous fetal/maternal monitoring. Delaying for further observation or sticking with routine labor without urgent action can lead to rapid deterioration for both baby and mother.

Uterine rupture is a life‑threatening obstetric emergency, and the fastest way to improve outcomes is to mobilize the team immediately for surgical delivery while stabilizing the mother. If rupture is suspected, you should alert the care team right away and prepare for emergency cesarean delivery, all while providing support to the mother. This means getting the OR ready, informing anesthesia and blood bank, securing IV access, and beginning immediate maternal stabilization (oxygen, fluids, stopping any uterotonic agents if appropriate) and continuous fetal/maternal monitoring. Delaying for further observation or sticking with routine labor without urgent action can lead to rapid deterioration for both baby and mother.