Acute inversion of Uterus: Our Experience
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 2
Abstract
Background: Acute inversion of the uterus means a rapid turning of the uterus inside out per via naturals. This serious complication usually occurs during the third stage, the prognosis is always very grave, the mortality varying between 23 and 80% in different series. If left alone, sloughing and/or sepsis may occur. Treatment is to replace inverted uterus as soon as possible. Aim: To reinforce that in case of acute inversion of uterus, number of steps be taken instantaneously, and simultaneously, i.e. to call for assistance, to arrange blood, to summon anesthesiologist etc. To show any delay in treatment increases the mortality rate appreciably. Material and methods: Total ten cases of inversion were recorded. Out of ten cases of inversion recorded, one was excluded from study as it was a chronic inversion in postmenopausal woman with fundal fibroid. Total deliveries from 2007 to 2014 were 23,927, making the incidence of puerperal inversion as1 in 2658. Out of 9 cases 3 were referred from outside and 6 were from the institute. Results: Cases were divided into two groups. Those following vaginal delivery, and those occurred at the time of caesarean section. All 6 cases from institute were recovered without significant morbidity, and no mortality.
Authors and Affiliations
Dr. K. S. Raja Kumari
Keywords
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