A RETROSPECTIVE STUDY OF CASE PROFILE, MATERNAL OUTCOME IN CASES OF ACUTE UTERINE INVERSION IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 5
Abstract
: Acute uterine inversion is a rare and life-threatening post-partum complication which often occurs when the placenta fails to detach from the uterus after childbirth. The uterine fundus falls into the endometrial cavity and may descend to the cervix (incomplete) or beyond the cervix (complete). Death may occur in 15% of the affected mothers due to blood loss and shock. AIM: To study case profiles of women who present with acute uterine inversion and to the maternal outcome and the determinants of the outcome in these cases. METHODOLOGY: It is a retrospective study for a period of 84 months at Vanivilas hospital attached to Bangalore Medical College from. 14 women in whom inversion was diagnosed were identified from the records. Maternal complications PPH, retained placenta, need for hysterectomy, ICU admissions, death were noted. Co morbid conditions which worsened the prognosis were looked into. RESULTS: 100% of the patients were booked elsewhere. Only 5 of them delivered in our hospital rest delivered elsewhere and were referred. 6 were primigravidae, 8 of them were in the age group of 20-25 years. Inversions were noticed in our hospital during caesarean with no adverse outcomes. 10 had delivered vaginally of which 9 were referred from elsewhere. Deliveries were conducted by obstetricians or trained personnel in 8 cases out of which 9 referred cases and 1 case was a home delivery conducted by an untrained dai. 4 patients required hysterectomy, 4 cases were diagnosed and managed corrected was made during caesarean section. Immediately and the rest 6 cases it was manually reduced. 2 women succumbed to PPH and shock. CONCLUSION: Acute uterine inversion a very rare complication after delivery but may be life threatening. Prompt immediate reposition could save the mother from neurogenic or haemorrhagic shock. Co morbid conditions may worsen the morbidity.
Authors and Affiliations
Srinivas K. , Malini K. V, Rajeshwari B. K. , Smrithi Cheluvaraj
Keywords
Related Articles
- EP ID EP221381
- DOI 10.18410/jebmh/2014/49
- Views 88
- Downloads 0
A GLIMPSE OF THE CURRENT CANCER INCIDENCE IN THE INDUSTRIAL BELT OF SOUTH SEMI-URBAN WEST BENGAL
BACKGROUND Global burden of cancer is on rise and trends and pattern of cancers are rapidly changing in different geographic area and population groups. Epidemiological information on cancer including the pattern is an i...
PREDICTORS OF EARLY MORTALITY IN ANTERIOR CIRCULATION STROKE
To assess and evaluate the significance of common clinical parameters as independent indices of mortality in stroke. To evaluate and correlate Rodrigues and Joshi's prognostic score with Bandolier's prognostic index as p...
TO STUDY EFFECT OF GABAPENTIN ON ATTENUATION OF PRESSOR RESPONSE TO DIRECT LARYNGOSCOPY AND TRACHEAL INTUBATION AND ON PERIOPERATIVE PAIN
BACKGROUND Endotracheal intubation was first described by Rowbotham and Magill in 1921.1 In 1940 Reid and Brace first described hemodynamic response to Laryngoscopy and Intubation due to Noxious stimuli.2 The circulatory...
RHINOSCLEROMA OF LARYNX: A CASE REPORT
Rhinoscleroma is a chronic granulomatous disease of the respiratory mucosa caused by klebsiella rhinoscleromatis. It commonly involves the nose followed by nasopharynx, oropharynx, larynx, trachea and bronchi. Middle age...
GENDER SENSITIZATION OF MEDICAL PROFESSIONALS IN THE EXAMINATION AND TREATMENT OF RAPE VICTIMS: A CRITICAL ANALYSIS
Rape is the ultimate crime a man can commit against woman. Rape is the humiliation of a woman‟s body and soul. It is the subordination of women by men in a patriarchal society. It is the violation of a woman‟s right to l...