COMPLETE UTERINE INVERSION DURING LOWER SEGMENT CAESAREAN SECTION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 28
Abstract
PRESENTATION OF CASE We describe a case of acute uterine inversion that occurred during a lower uterine segment caesarean section in a 20- year-old primigravida under subarachnoid block that was managed successfully. During the extraction of the placenta with controlled cord traction inversion of uterus was observed. After several unsuccessful attempts, the inversion was corrected by gradual reversion of the uterus done by rolling the lower edge over the uterine fundus (first part to invert, first reverted) followed by extraction of the placenta. A blood loss of about 1000 mL was estimated and corrected with two pints of compatible blood transfusion. The patient was shifted to the postoperative room in a stable condition. The postoperative period was uneventful. We concluded that uterine inversion is a serious complication, of which both the anaesthesiologist and the obstetrician should be aware of since its prompt diagnosis and early management are of utmost importance in preventing maternal morbidity and mortality.
Authors and Affiliations
Mubina Begum Bijapur, Birajdar Sanjeev Bhimeshankar, Nazeer Ahmed K, Rajendra Kumar B
Keywords
Related Articles
- EP ID EP537886
- DOI 10.14260/jemds/2018/734
- Views 88
- Downloads 0
EVALUATION ON ECG TRAINING PROGRAM FOR INTERNS AND POSTGRADUATES
BACKGROUND The electrocardiography is a basic and commonly used diagnostic test, which is really expected to know by the resident doctors and also by interns. There is no structured teaching methods for this. So, we inte...
ANALYSIS OF SUPRACUTANEOUS LOCKING COMPRESSION PLATE IN COMPOUND DISTAL METAPHYSEAL FRACTURES OF TIBIA- A PROSPECTIVE STUDY
BACKGROUND Complexity of open tibial fractures is on the rise with increased high-velocity road accidents. Temporary bony stabilization by external fixation avoids the instability at the fracture site and promotes healin...
COMPARITIVE STUDY OF EJECTION FRACTION BETWEEN MIDDLE AGED AND ELDERLY MALES AND FEMALES (AGE GROUP 40-70 YEARS)
[b] BACKGROUND[/b]: Although gender-specific criteria are common for defining cardiac traits such as left ventricular hypertrophy, left ventricular ejection fraction (LVEF) thresholds widely used in clinical prac...
OUTCOME OF CATARACT SURGERY IN A SOFT EYEBALL
Presenting here the outcome of cataract surgery in a 40yr old male patient diagnosed with mature cataract with ocular hypotony. Patient was investigated and all the possible causes of hypotony were ruled out. This wa...
MATERNAL AND PERINATAL OUTCOME IN PREECLAMPSIA AT A TERTIARY CARE CENTRE VIJAYAWADA, ANDHRA PRADESH, INDIA
BACKGROUND Preeclampsia is one of the important causes of maternal and perinatal mortality in India. This study was conducted to evaluate the maternal and perinatal complications and outcome associated with preeclampsia....