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Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report

Acute uterine inversion is a rare life-threatening complication of third stage of labour. In majority of cases, exact aetiology is unknown. It should be strongly suspected when the triad of haemorrhage, shock and severe abdominal pain with bearing down sensation is present after delivery of placenta...

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Detalles Bibliográficos
Autores principales: Kumari, Sarita, Singh, Vinita, Ray, Alokananda, Swain, Amlan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963637/
https://www.ncbi.nlm.nih.gov/pubmed/35360782
http://dx.doi.org/10.4103/jfmpc.jfmpc_1164_21
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author Kumari, Sarita
Singh, Vinita
Ray, Alokananda
Swain, Amlan
author_facet Kumari, Sarita
Singh, Vinita
Ray, Alokananda
Swain, Amlan
author_sort Kumari, Sarita
collection PubMed
description Acute uterine inversion is a rare life-threatening complication of third stage of labour. In majority of cases, exact aetiology is unknown. It should be strongly suspected when the triad of haemorrhage, shock and severe abdominal pain with bearing down sensation is present after delivery of placenta. It can occur even after active management of third stage of labour. Diagnosis is essentially clinical. Expeditious manual repositioning of uterus and simultaneous liberal use of uterotonics is the management of choice. This was successfully attempted in the present case where a 26-year-old multiparous woman, without any identifiable risk factors, developed acute puerperal uterine inversion after active management of labour. It was observed that quick and accurate clinical judgement and timely intervention can prevent maternal mortality. The role of a multidisciplinary team including primary health care provider, obstetrician, anaesthesiologist and critical care experts has significant effects on outcome especially in intractable cases.
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spelling pubmed-89636372022-03-30 Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report Kumari, Sarita Singh, Vinita Ray, Alokananda Swain, Amlan J Family Med Prim Care Case Report Acute uterine inversion is a rare life-threatening complication of third stage of labour. In majority of cases, exact aetiology is unknown. It should be strongly suspected when the triad of haemorrhage, shock and severe abdominal pain with bearing down sensation is present after delivery of placenta. It can occur even after active management of third stage of labour. Diagnosis is essentially clinical. Expeditious manual repositioning of uterus and simultaneous liberal use of uterotonics is the management of choice. This was successfully attempted in the present case where a 26-year-old multiparous woman, without any identifiable risk factors, developed acute puerperal uterine inversion after active management of labour. It was observed that quick and accurate clinical judgement and timely intervention can prevent maternal mortality. The role of a multidisciplinary team including primary health care provider, obstetrician, anaesthesiologist and critical care experts has significant effects on outcome especially in intractable cases. Wolters Kluwer - Medknow 2022-02 2022-02-16 /pmc/articles/PMC8963637/ /pubmed/35360782 http://dx.doi.org/10.4103/jfmpc.jfmpc_1164_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kumari, Sarita
Singh, Vinita
Ray, Alokananda
Swain, Amlan
Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report
title Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report
title_full Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report
title_fullStr Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report
title_full_unstemmed Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report
title_short Post-partum complete acute uterine inversion: A coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report
title_sort post-partum complete acute uterine inversion: a coordinated multi-disciplinary approach ameliorates an obstetric nightmare, a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963637/
https://www.ncbi.nlm.nih.gov/pubmed/35360782
http://dx.doi.org/10.4103/jfmpc.jfmpc_1164_21
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