Total Uterine inversion after normal vaginal delivery: a case report study
Introduction: Puerperal uterine inversion is a rare obstetric emergency that may cause maternal mortality. We describe a multiparous women with total uterine inversion after a normal vaginal delivery. Case Report: A 28 years old, gravid3 pregnant women was admitted to the hospital in the first s...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2021-10-01
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| Series: | Case Reports in Clinical Practice |
| Subjects: | |
| Online Access: | https://crcp.tums.ac.ir/index.php/crcp/article/view/390 |
| _version_ | 1819242585109037056 |
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| author | Ladan kashani Afsaneh Tehranian Shima Mohiti Ladan Hosseini |
| author_facet | Ladan kashani Afsaneh Tehranian Shima Mohiti Ladan Hosseini |
| author_sort | Ladan kashani |
| collection | DOAJ |
| description | Introduction: Puerperal uterine inversion is a rare obstetric emergency that may cause maternal mortality. We describe a multiparous women with total uterine inversion after a normal vaginal delivery.
Case Report: A 28 years old, gravid3 pregnant women was admitted to the hospital in the first stage of labor. She had a Past medical history of curettage due to abnormal vaginal bleeding following her second vaginal delivery and the present pregnancy proceeded without complications. After the delivery of the fetal due to the history of placental adhesion, umbilical cord traction was avoided and after 20 minutes, the patient was asked to push hard. During a Valsalva maneuver, the uterus and the placenta were suddenly expelled from the vagina. The placenta was completely adherent to the decidua and the patient displayed no signs of shock. Then manual repositioning of the uterus was performed by a closed fist. and subtotal abdominal hysterectomy was performed. Pathological examination revealed placenta inccreta and The placenta was found completely adherent at the fundus.
Conclusion Uterine inversion usually occurs unexpectedly and is unpreventable in some cases. Assessment of the possible risk factors before delivery may help predict its occurrence. Therefore, in women with a positive history, special measures should be taken in third stage of labor to manage the possibility of inversion. |
| first_indexed | 2024-12-23T14:42:08Z |
| format | Article |
| id | doaj.art-63a7a92f0c93420eafae7303f08d63aa |
| institution | Directory Open Access Journal |
| issn | 2538-2683 2538-2691 |
| language | English |
| last_indexed | 2024-12-23T14:42:08Z |
| publishDate | 2021-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Case Reports in Clinical Practice |
| spelling | doaj.art-63a7a92f0c93420eafae7303f08d63aa2022-12-21T17:43:11ZengTehran University of Medical SciencesCase Reports in Clinical Practice2538-26832538-26912021-10-016310.18502/crcp.v6i3.7126Total Uterine inversion after normal vaginal delivery: a case report studyLadan kashani0Afsaneh Tehranian1Shima Mohiti2Ladan Hosseini3Department of Obstetrics and Gynecology, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Obstetrics and Gynecology, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran.AND Research Development Center, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran.Department of Obstetrics and Gynecology, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran.Research Development Center, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran.Introduction: Puerperal uterine inversion is a rare obstetric emergency that may cause maternal mortality. We describe a multiparous women with total uterine inversion after a normal vaginal delivery. Case Report: A 28 years old, gravid3 pregnant women was admitted to the hospital in the first stage of labor. She had a Past medical history of curettage due to abnormal vaginal bleeding following her second vaginal delivery and the present pregnancy proceeded without complications. After the delivery of the fetal due to the history of placental adhesion, umbilical cord traction was avoided and after 20 minutes, the patient was asked to push hard. During a Valsalva maneuver, the uterus and the placenta were suddenly expelled from the vagina. The placenta was completely adherent to the decidua and the patient displayed no signs of shock. Then manual repositioning of the uterus was performed by a closed fist. and subtotal abdominal hysterectomy was performed. Pathological examination revealed placenta inccreta and The placenta was found completely adherent at the fundus. Conclusion Uterine inversion usually occurs unexpectedly and is unpreventable in some cases. Assessment of the possible risk factors before delivery may help predict its occurrence. Therefore, in women with a positive history, special measures should be taken in third stage of labor to manage the possibility of inversion.https://crcp.tums.ac.ir/index.php/crcp/article/view/390Total uterine inversionNormal vaginal deliveryCase report |
| spellingShingle | Ladan kashani Afsaneh Tehranian Shima Mohiti Ladan Hosseini Total Uterine inversion after normal vaginal delivery: a case report study Case Reports in Clinical Practice Total uterine inversion Normal vaginal delivery Case report |
| title | Total Uterine inversion after normal vaginal delivery: a case report study |
| title_full | Total Uterine inversion after normal vaginal delivery: a case report study |
| title_fullStr | Total Uterine inversion after normal vaginal delivery: a case report study |
| title_full_unstemmed | Total Uterine inversion after normal vaginal delivery: a case report study |
| title_short | Total Uterine inversion after normal vaginal delivery: a case report study |
| title_sort | total uterine inversion after normal vaginal delivery a case report study |
| topic | Total uterine inversion Normal vaginal delivery Case report |
| url | https://crcp.tums.ac.ir/index.php/crcp/article/view/390 |
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