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Gynaecology & Obstetrics General 8525419b

All of the following are signs of uterine scar dehiscence except: September 2009

A
Tachycardia
B
Fetal distress
C
Strong uterine contractions
D
Falling BP
High-Yield Explanation
Ans. C: Strong Uterine Contractions The signs and symptoms of uterine rupture largely depend on the timing, site, and extent of the uterine defect. Uterine rupture at the site of a previous uterine scar is typically less violent and less dramatic than a spontaneous or traumatic rupture because the scar is relatively avascular. The classic signs and symptoms of uterine rupture are as follows: fetal distress (as evidenced most often by pattern of abnormalities in fetal hea rate), diminished baseline uterine pressure, loss of uterine contractility, abdominal pain, recession of the presenting fetal pa, hemorrhage, and shock.

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