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Gynaecology & Obstetrics FMGE 2019 4d2603f0

A lady with 36-week pregnancy with previous C section comes with low BP, tachycardia and on USG fluid present in peritoneum. What is diagnosis and next management

A
Uterine scar rupture with Laparotomy
B
Impending dehiscence and Laparoscopy
C
Ectopic pregnancy and aboion
D
Abruptio and C-section
High-Yield Explanation
Above history points towards diagnosis of Uterine scar rupture Signs and symptom of rupture: Maternal Tachycardia Maternal hypotension Dead baby or severe fetal distress Uterine contour is lost Sudden stoppage of uterine contraction Hemoperitoneum P/V: loss of station Mx: Emergency laparotomy

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