Uterine inversion is when the uterus turns inside out, usually following childbirth. Risk factors include pulling on the umbilical cord or pushing on the top of the uterus before the placenta has detached. Treatment involves standard resuscitation together with replacing the uterus as rapidly as possible. Uterine inversion occurs in about 1 in 2, to 1 in 10, deliveries. Uterine inversion is often associated with significant postpartum bleeding.
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Aka: Uterine Inversion. These images are a random sampling from a Bing search on the term "Uterine Inversion. Search Bing for all related images. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers.
Patients should address specific medical concerns with their physicians. Toggle navigation. LAD Chapter. From Related Chapters. Page Contents Epidemiology Incidence : 1 in deliveries 0. Pathophysiology Serious complication of Vaginal Delivery Rare, but life threatening if not replaced. Signs Placenta appears at introitus attached to mass Inverted Uterus appears as bluish-gray mass protruding from vagina Shock Bradycardia associated with vagal response Excessive Hemorrhage may be absent.
Management Treat shock and blood loss Immediate Intravenous Access Intravenous Fluid Replacement Call for emergent Consultation Obstetrics Gene ral Anesthesia consider Halothane Immediate Manual Replacement Johnson Maneuver Replace Uterus in non-inverted position Replace last part out first last out, first in Leave placenta in place if still attached removal increases bleeding Johnson Method Grasp protruding uterine fundus with palm of hand and fingers toward posterior fornix Lift the Uterus back up into vagina, through Pelvis and into Abdomen Administer Terbutaline or Nitroglycerin as below as needed to relax Uterus Consider Gene ral Anesthesia Repeat trial of Manual Replacement Surgical Replacement Pre-replacement uterine relaxants Tocolytic s if contraction ring prevents replacement Magnesium Sulfate Terbutaline 0.
Images: Related links to external sites from Bing. Related Studies. Trip Database TrendMD. Ontology: Uterine Inversion C Related Topics in LAD. Obstetrics Chapters. Obstetrics - LAD Pages. Back Links pages that link to this page. Search other sites for 'Uterine Inversion'. Pathologic Function T Inversio uteri waehrend der Entbindungsphase , Uterusinversion , Inversio uteri. Inversione ostetrica dell'utero , Inversione dell'utero. Uterusinversjon , Inversjon av uterus , Livmorinversjon.