Inversio uteri — viðvend lívmóðir

Abstract

Two cases of puerperal inversio uteri are reported. The literature has been briefly reviewed and the aetiology as well as the frequency of inversio uteri has been discussed. In most cases the inversion is spontaneous, but a usual cause of inversio uteri is supposed to be too heavy expression of the afterbirth at the third stage of the delivery when the placenta is not loosened and the uterus is not contracted. The parity is of no importance. The first symptom usually is shock which not always is proportional to the bleeding. Also fibrinolytic blood coagulation defects are mentioned. The diagnosis is evident when the uterus is found in or outside the vagina. The treatment is manual reposition as soon as possible after the shock has been treated. The two reported cases are both puerperal inversions. The first, para 2, was admitted in shocked condition. The reposition was easy and no complications occured, while the other case was a para 4 complicated with a fibroma of the uterus. This patient died after the reposition was made as it was not possible to treat the shock adequately.