CHRONIC INVERSION OF UTERUS

Authors

  • Nazakat Begum
  • Shaheen Faisal

Abstract

The inversion of the uterus is a post-partum complication which is an obstetric emergency. Theinversion of uterus may be acute, sub-acute and chronic inversion. The acute inversion is very rareand occurs in 1:20,000,00 to 1. 200.000 cases1. The causes of acute inversion of uterus aremismanagement of third stage of labour; e.g. trial of delivery of the placenta when the uterus is notyet involuted and placenta not yet separated, by pulling at the cord or by delivering it by Crude’sMethod. It could also happen immediately after the delivery by sudden increase in intra-abdominalpressure, like coughing and sneezing2,3. If the acute inversion is missed at that time, and patientpresent later in puerperium, it is called chronic inversion. This is the most common cause of chronicinversion. Other causes of chronic inversion are fundal neoplasm and atrophic uterus.

References

Fehang. K. Acute Inversion of Uterus; Surgical International. 62.1977.

Lewin. J.S. Bryan T.S. Compat Assist, toma gr. 1989. Manl. April. 13 (2). P. 357-9.

Lipitz. S. Frenkel. Y; Ostet. Gynaecol. Reprod. Biol. 1989. March 27(3) P 271-

Shah Hosseni R. Evrand JR. Obstet Gynaecology 1989. April 73(4) P. 567-70.

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