Acute Puerperal Uterine Inversion

doi:10.1017/9781108790932.020

Chapter 18 - Acute Puerperal Uterine Inversion

from Section 4 - Postpartum Emergencies

Published online by Cambridge University Press: 06 May 2021

Hemantha Senanayake ,

Probhodana Ranaweera and

Mohamed Rishard

Edited by

Edwin Chandraharan and

Sir Sabaratnam Arulkumaran

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Edwin Chandraharan: Affiliation:
St George's University of London
Sir Sabaratnam Arulkumaran: Affiliation:
St George's University of London

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Summary

While 50% of cases of inversion of the uterus have no identifiable risk factors [5], mismanagement of the third stage (applying traction on the umbilical cord before contraction of the uterus and applying fundal pressure) is considered as the prime cause [3].Other recognised predisposing factors include uterine atony, fundal implantation of a morbidly adherent placenta, manual removal of the placenta, precipitate labour, a short umbilical cord, placenta praevia and connective tissue disorders (Marfan syndrome and Ehlers–Danlos syndrome) [3]. It has also been reported to follow sudden increases in intra-abdominal pressure such as coughing or, sneezing before contraction of uterine muscles, delivery of a baby with cord around the neck, giving birth in sitting or erect position, precipitated labour [4] and very rarely during caesarean section [1]. Even though individual risk factors do commonly occur, rarity of the condition indicates that these factors must act in unison to culminate in an inversion of the uterus.

Type: Chapter
Information: Obstetric and Intrapartum Emergencies
A Practical Guide to Management
, pp. 133 - 138

DOI: https://doi.org/10.1017/9781108790932.020 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2021

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References

Emmott, RS, Bennett, A. Acute inversion of the uterus at cesarean section. Anaesthesia. 1988;43:118–20.Google Scholar

Sivasuriya, M, Maharoof, HM. Chronic complete puerperal inversion of the uterus treated by Kustner operation. Ceylon Med J. 1974;19(2):100–1.Google Scholar

Bhalla, R, Wuntakal, R, Odejinmi, F, Khan, RU. Acute inversion of the uterus. Obstet Gynaecol. 2009;11:13–18.CrossRef Google Scholar

Silva, DNKP, Jayaweera, BA. Acute puerperal inversion of the uterus. Ceylon Med J. 1966;11(3):111–14.Google Scholar PubMed

Adesiyun, AG. Septic postpartum uterine inversion. Singapore Med J. 2007;48(10):943–5.Google Scholar

Kellog, FS. Puerperal inversion of the uterus. Classification for treatment. Am J Obstet Gynecol. 1929;18:815.Google Scholar

Galloway, DC. Subacute inversion of the uterus treated with Aveling’s repositor. Br Med J. 1952;197.Google Scholar

Beringer, RM, Patteril, M. Puerperal uterine inversion and shock. Br J Anaesth. 2004;92(3):439–41.Google Scholar

Baskett, TF, Calder, AA, Arulkumaran, S. Acute uterine inversion. In Munro Kerr’s Operative Obstetrics, 11th ed. Edinburgh: Elsevier, 2007, 243–50.Google Scholar

Watson, P, Besch, N, Bowes, WA Jr. Management of acute and subacute puerperal inversion of the uterus. Obstet Gynecol. 1980;55:6–12.Google Scholar

Vijayaraghavan, R, Sujatha, Y. Acute postpartum uterine inversion with haemorrhagic shock: laparoscopic reduction: a new method of management? Br J Obstet Gynaecol. 2006;113(9):1100–2.CrossRef Google Scholar PubMed

Hussain, M, Jabeen, T, Liaquat, N, Noorani, K, Bhutta, SZ. Acute puerperal uterine inversion. J Coll Physicians Surg Pak. 2004;14(4):215–17.Google Scholar PubMed

Johnson, AB. A new concept in replacement of the inverted uterus and report of nine cases. Am J Obstet Gynecol. 1949;57:557–62.Google Scholar

O’Sullivan, J. Acute inversion of the uterus. Br Med J. 1945;2:282–3.Google Scholar

Ogueh, O, Ayida, G. Acute uterine inversion: a new technique of hydrostatic replacement. Br J Obstet Gynaecol. 1997;104(8):951–2.CrossRef Google Scholar PubMed

Majd, HS, Pilsniak, A, Reginald, PW. Recurrent uterine inversion: a novel treatment approach using SOS Bakri balloon. Br J Obstet Gynaecol. 2009;116(7):999–1001.Google Scholar

Azubuike, U, Bolarinde, O. Complete uterine inversion managed with a Rusch balloon catheter. J Med Cases. 2010;1(1):8–9.Google Scholar

Soto, RG, McCarthy, J, Hoffman, MS. Anaesthetic management of uterine inversion. J Gynecol Surg. 2002;18:165–6.Google Scholar

Grossman, RA. Magnesium sulfate for uterine inversion. J Reprod Med. 1981;26(5): 261–2.Google Scholar

Bayhi, DA, Sherwood, CD, Campbell, CE. Intravenous nitroglycerin for uterine inversion. J Clin Anesth. 1992;4(6):487–8.Google Scholar

Thiery, M, Delbeke, L. Acute puerperal uterine inversion: two-step management with a beta-mimetic and a prostaglandin. Am J Obstet Gynecol. 1985;153(8):891–2.Google Scholar

Huntington, JL, Irving, FC, Kellogg, FS, Mass, B. Abdominal reposition in acute inversion of the puerperal uterus. Am J Obstet Gynaecol. 1928;15:34–8.Google Scholar

Antonelli, E, Irion, O, Tolck, P, Morales, M. Subacute uterine inversion: description of a novel replacement technique using the obstetric ventouse. Br J Obstet Gynaecol. 2006;113(7):846–7.Google Scholar

Haultain, FW. Abdominal hysterotomy for chronic uterine inversion. Proc R Soc Med. 1908;1 (Obstet Gynaecol Sect):279–90.Google Scholar

Marasinghe, JP, Du Plessis, J, Epitawela, D, Umstad, MP. Management of postpartum haemorrhage with uterine balloon tamponade: the way forward. Aust N Z J Obstet Gynaecol. 2015;55(4):315–17.Google Scholar

Gupta, P, Sahu, RL, Huria, A. Acute uterine inversion: a simple modification of hydrostatic method of treatment. Ann Med Health Sci Res. 2014;4(2):264–7.Google Scholar

Vivanti, AJ, Furet, E, Nizard, J. Successful use of a Bakri Tamponade Balloon in the treatment of puerperal uterine inversion during caesarean section. J Gynecol Obstet Hum Reprod. 2017;46(1):101–2.Google Scholar

Nag, DS, Datta, MR, Samaddar, DP, Panigrahi, B. Cardiac arrest following acute puerperal uterine inversion. BMJ Case Rep. 2015 Feb 18;2015. pii: bcr2014207175.Google Scholar