Copyright BMJ Publishing Group Ltd Description A year-old primiparous woman with 37 weeks of amenorrhoea was admitted to the Obstetric ward with symptoms of severe abdominal pain and non-progression of labour past 20 h. The patient was registered for antenatal care at a peripheral health centre PHC. She had two previous antenatal visits at the PHC. Her last visit was 15 days prior to admission, during which her blood pressure was found to be normal.
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Couvelaire uterus. J Am Osteopath Assoc.
Signs can also be due to abruptio placentae including uterine hypertonus, fetal distress, fetal death, and rarely, hypovolemic shock shock secondary to severe blood loss. Pathophysiology[ edit ] Couvelaire uterus is a phenomenon where in the retroplacental blood may penetrate through the thickness of the wall of the uterus into the peritoneal cavity. This may occur after abruptio placentae. The hemorrhage that gets into the decidua basalis ultimately splits the decidua, and the haematoma may remain within the decidua or may extravasate into the myometrium the muscular wall of the uterus. The myometrium becomes weakened and may rupture due to the increase in intrauterine pressure associated with uterine contractions.
Definición de útero de Couvelaire