- Rupture of uterus from stress of labor from uncontrolled tetanic and hypertonic contractions, prolonged labor, prior uterine surgery, fetal abnormalities and faulty use of forceps.
- Clinical manifestations: sudden onset of sharp, stabbing abdominal pain during labor, shock syndrome, cessation of uterine contraction with rigidity of abdomen.
- Main nursing diagnosis: Altered tissue perfusion and pain.
- Nursing care involves Close monitoring of labor and fetal and maternal vital signs; preparation to emergency surgery.