You patient is a G6, P5 with a history of previous delivery…
You patient is a G6, P5 with a history of previous delivery by C-section. The patient called you because she suddenly went into labor with rupture of the amniotic sac. Contractions are very strong and about 4 minutes apart. En route to the hospital, the patient experiences sudden, severe abdominal pain. She develops pale, cool, moist skin and thready pulses. Her abdomen is rigid and shows rebound tenderness. Upon palpation, you feel a hard mass next to the fetus and the abdomen takes on an “hour glass” shape. You suspect: