Uterine Inversion is a life-threatening condition that can affect women during the delivery of a baby. It usually occurs when the placenta fails to separate from the uterus through natural or forced means (such as tugging on the umbilical cord prior to placenta release.) The uterus is pulled through the cervix and, in some cases the vagina, causing it to become inside-out.
When it occurs, the mother is at risk for severe post-partum hemorrhage and shock. Post-partum hemorrhage occurs when a mother loses an extensive amount of blood following delivery. Shock is causes by insufficient blood flow throughout the mother’s body.
Uterine Inversion is very rare. According to “What to Expect When Your Expecting,” it occurs in any where from 1 in every 2000 births to 1 in several hundred thousand. Signs include severe abdominal pain, excessive bleeding following delivery, and, in some cases, the visibility of the uterus extending from the vagina. Although the condition is life threatening, the risk of maternal death is very low in developed countries and when proper medical care is available.
Uterine Inversion can occur in different degrees. These are the severities of the condition:
First Degree – The fundus (the top portion of the uterus) reaches the cervix, but does not extend through it.
Second Degree – The fundus passes through the cervix, but it does not extend outside of the vagina.
Third Degree – The fundus passes through the vagina.
Total – The uterus and vagina are completely inverted.
How Uterine Inversion is Treated:
Diagnosis and treatment of uterine inversion must begin as soon as the condition is recognized. Medical personal (usually an obstetrician or midwife) will attempt to push the uterus back above the cervix. Medication will be given to the mother to relax the uterus and aid in the repositioning. Surgery may need to be performed if the uterus is unable to be positioned manually. Medication to help the uterus contract is given once it is back in place to help prevent it from inverting again. Due to the blood loss associated with uterine inversion, a blood transfusion is usually necessary. If the uterus cannot be corrected, a woman may need a hysterectomy.
Risk factors of uterine inversion:
-Prior vaginal births
-Short umbilical cord
-Prior cases of Uterine Inversion
Better Health Channel Uterine Inversion
ISPUb.com Journal of Gynecology and Obstetrics Acute uterine inversion as a major cause of post-partum heamorrhage: a case report and review of literature
BabyCenter.com Uterine Inversion
Heidi Murkoff, Sharon Mazel What to Expect When Your Expecting: 4th Edition