Diagnostico temprano del síndrome de Bandl Frommel Pinard en la rotura uterina

Abstract

Uterine rupture during pregnancy is an important and rare, but potentially catastrophic, complication that constitutes an obstetric emergency due to its high rate of morbidity and mortality for both the mother and the fetus. This phenomenon occurs most frequently in previously scarred uteruses, as a result of cesarean sections or uterus-related surgeries, although it can also occur in unscarred uteruses, although less commonly and with potentially more serious consequences. The diagnosis of uterine rupture can be challenging due to the variability in clinical presentation, which can include acute abdominal pain, changes in fetal heart rate, abnormal vaginal bleeding, and signs of maternal shock. Clinical suspicion is reinforced when symptoms are nonspecific, but are accompanied by a relevant clinical history and physical findings consistent with intra-abdominal hemorrhage. Objective: Early identify the signs and symptoms of uterine rupture during pregnancy and childbirth to prevent serious obstetric complications and reduce maternal-fetal morbidity and mortality. Methodology: A bibliographic review of scientific articles from the last 5 years was carried out on the platforms “PubMed”, “MedScape” and “Scielo”. Conclusion: Bandl's sign has a high suspicion of obstruction of the birth canal in the second stage, which could eventually cause uterine rupture or imminent uterine rupture along with other signs such as Frommel and Pinard, its early detection allows adequate management by part of health personnel, thus reducing morbidity and mortality rates.