Puerperal Uterine Inversion

Shah-Hosseini, Reza; Evrard, John R.

doi:10.1097/00132582-198910000-00007

Cited by 23 publications

(42 citation statements)

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“…[5] The prevalence of each class of inversion is 83.4%, 2.62% and 13.9% respectively. [6,7] Chronic uterine inversion due to an incomplete or uncorrected puerperal inversion may present months after the delivery as in our case. Predisposing factors towards inversion are multiparity, short cord, adherent placenta, and excessive fundal pressure during second or third stage of labour, excessive cord traction or fundal myomas.…”

Section: Case Reportmentioning

confidence: 49%

Case Report - Chronic Uterine Inversion : A Rare Complication of Labour

Khot¹,

Kshirsagar²,

Laddad³

et al. 2015

jemds

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ABSTRACT:Chronic uterine inversion is a complication of mismanaged labour. It is a life threatening complication and an obstetric emergency. Early diagnosis, prompt and aggressive management reduce the morbidity and mortality. Incomplete uterine inversion left unattended or unnoticed may lead to constriction ring formation and may require surgical intervention. We report a case of chronic uterine inversion which was reduced by Haultain's repair.

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Section: Case Reportmentioning

confidence: 49%

Case Report - Chronic Uterine Inversion : A Rare Complication of Labour

Khot¹,

Kshirsagar²,

Laddad³

et al. 2015

jemds

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“…9 Delay in treatment increases the mortality rate appreciably. Therefore it is essential that a number of measures are taken in a prompt and well co-ordinated manner.…”

Section: Discussionmentioning

confidence: 99%

Uterine inversion: a shocking aftermath of mismanaged third stage of labour

Dwivedi

Gupta

Mishra

et al. 2013

Int J Reprod Contracept Obstet Gynecol

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Background: To study the incidence, causes, clinical presentations, management and maternal morbidity and mortality associated with acute puerperal inversion of uterus. Methods: This retrospective study was conducted in Department of Obstetrics and Gynecology, G.S.V.M. Medical College, Kanpur, from March 2008 to March 2013. All the women who developed acute puerperal inversion of uterus either in or outside our hospital were included in the study. Results: Majority of women presenting with inversion belonged to age group 20-35 years, were multigravida (68.2%), came from rural set-up (81.4%) and were unbooked (81.8%). Majority of deliveries complicated by inversion took place at home (50%), delivered by dais (46%). Mismanaged 3rd stage of labour proved to be an important factor (36.4%) leading to inversion uterus followed by atonicity of uterus. 90% of women suffered due to delay in management at PHC and CHC, 68%women succumbed to delay in diagnosis at the place of delivery by untrained staff, whereas 45% women suffered due to delay in transport facility. 13.63% women suffered from sepsis in post-operative period, 22.72% from renal failure whereas 18.18% died. Conclusion: Proper education and training regarding active management of third stage of labour, diagnosis and management of uterine inversion should be imparted to traditional birth attendants, so that this potentially life-threatening obstetric emergency could be averted. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 292-295

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“…D'autres facteurs de risque ont été rapportés, un cordon court, un placenta accreta, un travail prolongé, l'arrêt brutal des ocytociques après l'accouchement, une faiblesse congé-nitale de la paroi utérine, un fibrome fundique [1,3,4,7]. Les inversions restent tout de même rares après une césarienne [5].…”

Section: éTiologiesunclassified

“…La primiparité et la pauciparité semblent prédisposer à l'inversion utérine puerpérale [2][3][4]6], mais ceci n'a pas été retenu par d'autres auteurs [1].…”

Section: éTiologiesunclassified