A unique case of recurrent uterine inversion requiring double reposition

Authors

  • Nirmala Sharma Department of Obstetrics & Gynaecology, Govt. Medical College, Kota, Rajasthan, India
  • Kana Ram Department of Obstetrics & Gynaecology, Govt. Medical College, Kota, Rajasthan, India
  • Anand Sharma Department of Medicine, Govt. Medical College, Kota, Rajasthan, India
  • Shashi Sharma Department of Obstetrics & Gynaecology, Govt. Medical College, Kota, Rajasthan, India

Keywords:

Primipara, Uterine inversion, Postpartum hemorrhage

Abstract

Acute puerperal uterine inversion is a rare but life threatening complication of third stage of labour. The incidence varies widely between 1 in 2000 to 1 in 50,000 deliveries, largely dependent upon the standard of management of the third stage of labour. Acute uterine inversion occurs within 24 hours delivery; subacute between 24 hours and 4 weeks of delivery and chronic uterine inversion after 4 weeks or in the non pregnant state. Cases of subacute and chronic uterine inversion require surgical management.

References

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Rajagopalan V, Sujatha Y. Acute postpartum uterine inversion with hemorrhagic shock with laparoscopic reduction: a new method of management. BJOG 2006;113:1100-2.

Antonelli E, Irion O, Tolck P, Morales M. Subacute uterine inversion: description of a novel replacement technique using the obstetric ventouse. BJOG 2006;113:846-7.

Robson S, Adair S, Bland P. A new surgical technique for dealing with uterine inversion. Australian and New Zealand Journal of Obstetrics and Gynaecology 2005;45:248-58.

Pauleta JR, Rodrigues R, Melo MA, Graça LM. Ultrasonographic diagnosis of incomplete uterine inversion. Ultrasound Obstet Gynecol 2010;36:260.

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Published

2016-12-10