Treatment Challenges in Acute Postpartum Uterine Inversion
Abstract
The mission of modern obstetrics should be to eliminate the conditions that predispose to inversion. For this purpose, in every case, uterotonic drugs (IV or IM) should be administered immediately after birth, if possible, and spontaneous separation of the placenta should be awaited. This will largely prevent uterine atony. In addition to these measures, Crede and similar expulsive methods should be applied with caution and caution during placental delivery, and the uterine fundus should be protected from pressure that could cause depression. If inversion occurs despite all protective measures, shock and bleeding should be actively controlled, and manual replacement should be attempted without further delay. If this maneuver fails quickly and easily, the necessary surgery—via an abdominal approach—is performed.
Keywords
Postpartum uterine inversion, Acute uterine inversion, Obstetric complications
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