Uterine Invertion: An Acute Obstetric Emergency

Abstract

Background: Uterine invertion is defined as the turning inside out of the fundus into the uterine cavity. It's a rare but serious obstetric emergency. Women can rapidly develop profound shock which can prove fatal. It is well established that mis-management of the third stage of labour (premature traction on umbilical cord and fundal pressure before separation of placenta) is the commonest cause of acute uterine invertion. Method: This is an observational study carried out at GGSMC Faridkot during period 2008-18. Result: In our study out of 17 patients of acute inversion uterus hydrostatic reduction was successful in 10 patients and manual reposition was successfully done in 6 patients. We lost 1 patient before any intervention. Conclusion: Non surgical technique like manual reposition and hydrostatic reduction can really save many lives. So it should be included in emergency obstetric drills and skills training.