A Case Report on Near Miss Case of Acute Uterine Inversion after Delivery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Uterine inversion is a rare obstetric emergency that can lead to neurogenic shock or even maternal death. There are many management strategies, but they are poorly dispersed in the medical literature. In our case a third gravida patient was admitted in emergency with history of delivery of living baby at home and presenting to our emergency room at B.S.M.C.H, Gynae Department with a mass protruding through the vagina .She was in gasping condition, her B.P was not recordable, pulse was 130/min, with severe degree of pallor and postpartum haemorrhage. She was promptly resuscitated with plasma volume expanders and life saving drugs with continuous CPR. Intubation done at emergency room by anaesthetist. Another resuscitative measures like uterotonics ,blood, antibiotics given. Manual reposition of uterus done under anaesthesia and she was shifted to CCU immediately. As patient couldn’t be moved to operation theatre so uterine packing with sterile roller gauze with betadine done. She recovered gradually. Two days later extubaion done and she was put on moist oxygen but she developed sepsis. But with broad spectrum antibiotics and strict monitoring she recovered. Two weeks later she was discharged in a healthy and stable condition. Uterine inversion is a rare and emergency condition ,therefore a strong clinical suspicion and prompt intervention is necessary.
Authors and Affiliations
Dr. Lata Kanak, Dr. Kumari Anita
Keywords
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- EP ID EP374810
- DOI 10.9790/0853-1705078991.
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