Recognition2
> Early recognition is key to initiate prompt treatment and reduce associated morbidity
Symptoms and signs include:
> Severe lower abdominal pain in the third stage of labour
> Haemorrhage (present in 94 % of cases)
> Severe shock
> Placenta may or may not be attached
> Uterine fundus is not palpable abdominally or in mild degrees there may be a dimple in the fundal area
> Pelvic examination reveals a mass in the vagina (first or second degree) or outside the introitus (third degree)2
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