Uterine Inversion

Filed under: Issues - 22 May 2013  | Spread the word !

Uterine inversion is a type of complication that can occur in certain cases. This can be a fatal complication developed at childbirth, statistics actually indicating that the survival rate in such cases is of about 85 percent. Why uterine inversion occurs? Well, this condition is commonly developed when the placenta fails to detach from the uterus. It is very rare, but it can cause the inversion of this organ, inside out.

So, even though this is a rare childbirth complication, it can be developed by some patients. A life-threatening disease, uterine inversion is formed when the placenta remains attached, pulling the uterus inside out. Normally, the placenta detaches from the uterus and exists the vagina about half an hour after the birth of the baby. Well, when this serious complication is developed, doctors have to manually detach the placenta. The uterus has to be pushed back into position, as soon as possible. If this occurs quicker, there are greater chances for the patient to improve her state of health. Still, there can be cases in which abdominal surgery to reposition the uterus will be needed.


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Types of uterine inversion

Uterine inversion can be graded differently depending on its severity. The main types include:

  • Total inversion. This is the most severe situation. It can occur at childbirth, but commonly this is developed in cases of cancers. Both the uterus and the vagina turn inside-out.
  • Complete inversion. This complication supposes that the uterus is inside-out and coming out through the cervix.
  • Prolapsed inversion. When this complication is developed the fundus of the uterus is coming out of the vagina.
  • Incomplete inversion. The top of the uterus has collapsed, although it has not come through the cervix.

Risk factors

There are several risk factors that have been associated with a higher potential of developing uterine inversion. Some of the most important ones are listed below:

  • Prior deliveries;
  • Short umbilical cord;
  • Placenta accreta;
  • Congenital abnormalities;
  • Weakness of the uterus;
  • Long labor;
  • Usage of muscle relaxant magnesium sulphate during labor.


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Treatment

Depending on the case, there are various treatment options that can be recommended by specialists. Treatment depends on the type of complication, as well as the state of the patient. One of the most common interventions is the attempt to reinsert the uterus by hand. Drugs can be administrated to soften this procedure. Abdominal surgery, as well as emergency hysterectomy can be recommended in certain cases.

Statistics show that 1 in 2000 women can have issues with uterine inversion at childbirth. The survival rate of the new mom is about 85%. Massive bleeding is the most common cause of death among women diagnosed with uterine inversion, as well as shock.