Uterine inversion
Uterine inversion | |
---|---|
antibiotics[1] | |
Prognosis | ~15% risk of death[3] |
Frequency | About 1 in 6,000 deliveries[1][4] |
Uterine inversion is when the
Risk factors include pulling on the
connective tissue disorders.[1] Diagnosis is by seeing the inside of the uterus either in or coming out of the vagina.[2][6]
Treatment involves standard
antibiotics are typically recommended.[1] The placenta can then be removed if it is still attached.[1]
Uterine inversion occurs in about 1 in 2,000 to 1 in 10,000 deliveries.developing world.[1] The risk of death of the mother is about 15% while historically it has been as high as 80%.[3][1] The condition has been described since at least 300 BC by Hippocrates.[1]
Signs and symptoms
Uterine inversion is often associated with significant
parasympathetic effect of traction on the uterine ligaments may cause bradycardia
.
Causes
The most common cause is the mismanagement of 3rd stage of labor, such as:
- Fundal pressure
- Excess cord traction during the 3rd stage of labor
Other natural causes can be:
- Uterine weakness, congenital or not
- Precipitate delivery
- Short umbilical cord
It is more common in multiple gestation than in singleton pregnancies.
Associations
- Placenta praevia
- Fundal Placental Implantation
- Use of Magnesium Sulfate
- Vigorous fundal pressure
- Repeated cord traction
- short umbilical cord
Types
Treatment
Treatment involves standard
antibiotics are typically recommended.[1] The placenta can then be removed if it is still attached.[1]
Epidemiology
Uterine inversion occurs in about 1 in 2,000 to 1 in 10,000 deliveries.developing world.[1]
References
- ^ S2CID 116580372.
- ^ PMID 19324238.
- ^ ISBN 9788132226925.
- ^ .
- PMID 24334469.
- ISBN 9781498720588.
- ^ Uterine inversion Archived 2009-10-04 at the Wayback Machine - Better Health Channel; State of Victoria, Australia; accessed 2009-04-03