Uterus, Acute inversion
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Extracted from Survival Guide to Midwifery, 2nd Edition (2012) Diane M. Fraser and Margaret A. Cooper, Oxford; Churchill Livingstone: 2012. Courtesy Elsevier
Second degree inversion of the uterus
This is a rare but potentially life-threatening complication of the third stage of labour.
Classification of inversion
Inversion can be classified according to severity as follows:
First-degree. The fundus reaches the internal os.
Second-degree. The body or corpus of the uterus is inverted to the internal os.
Third-degree. The uterus, cervix and vagina are inverted and are visible.
Causes of acute inversion are associated with uterine atony and cervical dilatation, and include:
Warning signs and diagnosis
Management of acute inversion of the uterus
If manual replacement fails, then medical or surgical intervention is required
Hostetier DR, Bosworth MF. (2000)Uterine inversion J Am Board Fam Med, 13(2):120-123 http://www.medscape.com/viewarticle/405770_4
Patient. Payne J. 2015. Uterine inversion (Professional reference). http://patient.info/doctor/uterine-inversion
UpToDate. Repka JT. (2016) Puerperal uterine inversion. http://www.uptodate.com/contents/puerperal-uterine-inversion