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Emergent obstetric management of uterine inversion.
- Source :
-
Obstetrics and gynecology clinics of North America [Obstet Gynecol Clin North Am] 1995 Jun; Vol. 22 (2), pp. 261-74. - Publication Year :
- 1995
-
Abstract
- Puerperal inversion of the uterus is an unusual and potentially life-threatening event occurring in the third stage of labor, but when managed promptly and aggressively inversion can result in minimal maternal morbidity and mortality. Once the diagnosis of inversion is made, measures should be undertaken to manage and correct acute blood loss and potential shock. In conjunction with anesthesia personnel, immediate uterine replacement should be considered. Uterine relaxants (MgSO4, terbutaline, or halothane) can be used if initial attempts fail; however, in the majority of patients successful immediate replacement without use of uterine relaxants is possible. The choice of anesthetic agent and uterine relaxants should be individualized based on the clinical scenario. Following manual replacement, massage and ecbolic agent(s) should be instituted immediately to prevent reinversion. Surgical repositioning via an abdominal or vaginal approach may be necessary in subacute or chronic inversions.
- Subjects :
- Anesthesia, Obstetrical
Anti-Bacterial Agents therapeutic use
Emergencies
Female
History, 19th Century
History, 20th Century
History, Ancient
Humans
Incidence
Pregnancy
Tocolytic Agents therapeutic use
Uterine Diseases diagnosis
Uterine Diseases etiology
Uterine Diseases history
Uterine Diseases therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0889-8545
- Volume :
- 22
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Obstetrics and gynecology clinics of North America
- Publication Type :
- Academic Journal
- Accession number :
- 7651670