What sign would indicate a complete uterine rupture in a multigravida woman with a history of cesarean births?

A complete uterine rupture is a serious obstetric emergency that can occur in women with a history of cesarean deliveries, especially those with prior uterine incisions.

Decreasing blood pressure serves as a critical indicator of significant internal bleeding due to the rupture. This drop in blood pressure occurs because the massive hemorrhage caused by the rupture can lead to hypovolemic shock, which is characterized by decreased circulating blood volume. It is essential to recognize this sign as it demands immediate medical intervention to manage the potential life-threatening situation for both the mother and the fetus.

Increased heart rate may occur as the body attempts to compensate for decreased blood volume; however, it is a more generalized response that does not directly indicate the presence of a uterine rupture specifically. While increased abdominal pain can be associated with various complications in pregnancy, it is not a definitive sign of uterine rupture. Fever is not commonly linked to this acute process but can reflect infection or other conditions, making it less relevant in the context of a sudden and acute event like a rupture.

Recognizing and responding effectively to the signs of a uterine rupture is crucial in ensuring the safety and health of both the mother and the child.