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
Answer is A. 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