čeština

english

Authors

  • Monika Uhlířová Nemocnice Třebíč p.o.
  • Michal Málek Nemocnice Třebíč p.o.

Keywords:

uterine inversion, maternal mortality, maternal mortality ratio, direct obstetrics deaths, indirect obstetrics deaths, pregnancy-related deaths, severe acute maternal morbidity, severe peripartum haemorrhage, peripartum hysterectomy, eclampsia, HELLP syndrome, abnormally invasive placentation, uterine rupture, sepsis, amniotic fluid embolism, sepsis

Abstract

Acute uterine inversion is rare, but one of the most serious complications of childbirth. This condition is defined as the collapse of the fundus into the uterine cavity. Maternal mortality and morbidity is reported to be 41%. In the management of uterine inversion, early diagnosis, anti-shock measures and attempting manual repositioning as soon as possible are important. If the initial maneuvers fail, it is essential to proceed with surgical intervention. Administration of uterotonic agents is recommended after successful reposition. This recommendation helps uterine contraction, thereby preventing recurrence of the inversion. If reposition is repeatedly unsuccessful, then a hysterectomy may be necessary.

Published

2023-04-21

Issue

Vol. 88 No. 2 (2023): Česká gynekologie

Section

Gynecology and Obstetrics

Categories