Videos you might be interested in
Videos you might be interested in
Videos you might be interested in
Suggested for you
Suggested for you
Suggested for you
Suggested for you
Uterine Inversion – All You Need To Know
Uterine inversion is a potentially fatal maternal condition where the uterus either partially or completely falls outside cervix or even vagina. In simple terms it can be called “Uterus turning inside out”.
What is Uterine Inversion?
Uterine inversion is a life-threatening obstetric emergency which is very rare but can lead to serious ill effects like hypovolemic shock, severe haemorrhage and even death in extreme conditions. The fundus of the uterus is found to pass out of cervix and even vagina causing inversion of the uterus.
How Common is Uterine Inversion?
The Incidence of uterine inversion usually varies and can range from 1 case in 2000 to 1 case in every 50,000 births. In a much broader range, it can occur in about 1 in 3,000 births. The mother’s survival rate is only about 85% and can lead to death.
What are the Grades of inversion?
Uterine inversion has 4 degrees or grades based on its severity. This includes:
1st - Incomplete inversion- the top of the uterus (fundus) has collapsed and is still inside the cavity, but if it comes out it does only till cervix and does not exceed cervical external.
2nd - Complete inversion- the uterus protrudes inside-out and comes out through the cervix.
3rd - Prolapsed inversion- the fundus of the uterus comes out of the vagina.
4th - Total inversion- both the uterine fundus and vagina protrude inside-out beyond vaginal introitus (this is mainly seen in cases of cancer rather than childbirth).
What are the Causes of Uterine Inversion?
Major etiological factors leading to uterine inversion include:
Excessive cord traction in the third stage of labour
Improper discharge of placenta after child birth
Forceful expulsion of placenta by doctors using medical aid
Tension on the umbilical cord
Prior deliveries.
Long labour (more than 24 hours).
Use of the muscle relaxants (like magnesium sulphate) during labour
Short umbilical cord
Fetal macrosomia
Excessive fundal pressure due to fundal implantation of placenta
Placenta accrete – Invasion of placenta deeply into the uterine walls
Ligament laxity
Congenital abnormalities of the uterus
Are There Any Symptoms of Uterine Inversion?
Some of the possible symptoms that can be noticed during Uterine inversion are:
Protrusion of uterus from the vagina
Displacement of uterus from its original place
Excess loss of blood i.e severe haemorrhage or a rapid fall in blood pressure
Symptoms of hypovolemic shock (lightheadedness, dizziness, coldness, tiredness, shortness of breath)
Tachycardia – Rapid increase in heart rate.
How is Uterine Inversion Diagnosed?
Quick and reliable diagnosis is important and can prevent maternal death. Signs of uterine inversion are as follows:
Protrusion of vagina
Displaced fundus from its place (abdominal area) during abdominal palpitation
Severe haemorrhage
Rapid fall in blood pressure (hypotension)
Signs of shock (blood loss)
Scans (such as ultrasound or MRI) that may be used in some cases to confirm the diagnosis
Uterine fundus beyond vaginal introitus
3rd degree inversion of uterus
The Echogenicity of the endometrium shows the shape of the letter C and the echogenicity of the uterus shows the shape of the letter H during ultrasound
Factors that can Increase the Risk of Uterine Inversion
Risk factors that can worsen a maternal condition that are noticed in uterine inversion include:
Severe bleeding
Shock
Trauma
Treatment for Uterine Inversion
Uterine inversion management options include:
Reposition of maternal fundus back through cervix
Relaxation of uterus using relaxants that can further help in re-positioning the uterus
After complete placement of uterus, continuous Intravenous infusion of oxytocin is provided to make the uterus firm and keep it in position, which further controls the bleeding.
Until uterus is at its place, the doctor may keep applying pressure by using one hand inside the vagina and other over the abdominal area (superficially) to compress the uterus and stop the bleeding.
The major surgical techniques for uterine inversion management are described below:
Huntington - Clamps are placed on the round ligament, near its insertion in the uterus, and traction is applied while the doctor exerts traction on the contralateral way through the vagina. It is the simplest technique and has a lower risk of complications.
Haultaim – Preferred when the first technique is a failure. Here in this method, an incision is made in the posterior portion of the ring formed by the cervix in order to increase the size of the ring and thus reposition the uterus.
Another surgical technique was given by Spinelli. In this method, the surgeon performs a dissection of the vesicouterine space and makes an incision on the cervix, allowing the uterus to return to its original position.
Hydrostatic pressure technique is an alternative method where balloons are generally placed intravaginally and filled by a saline solution to increase the pressure on the uterine fundus resulting in pushing the uterus to its initial position.
In extreme conditions where there are higher chances of maternal death, the uterus is completely removed by surgery.
Monitoring of vaginal bleeding and for other symptoms will be done continuously.
Blood transfusion is made for proper replacement, also supplemented by antibiotics to prevent further complications like infection.
Until the condition is stabilized the mother is kept under close observation for any other signs of degradation in her condition..
Post-discharge dietary changes and lifestyle modification plays an essential role which could also be called as part of treatment.
Will You Suffer From Uterine Inversion In Your Next Pregnancy?
Yes, there are higher chances of Uterine inversion in next pregnancy of you have already suffered one. As with any pregnancy complication or other medical problem, the complete medical history has to be provided to the doctor for proper care and management. This will help the practitioner in further reducing the complications associated with the condition.
Things to remember
It is always advisable to keep a track of medical history provide the same to the doctor, and talk to them for proper medical advice and to prevent further risk of uterine inversion in the future.
Conclusion
Uterine inversion is a fatal condition which requires diagnosis in advance and also proper management as quickly as it occurs. Irrespective of the approach, vaginal or surgical, prompt treatment is the best way to deal with uterine inversion to prevent maternal death. Read more
Suggested for you
Pricey But Perfect Kitchen Items you Should Get
Good and standard kitchen tools can help cut down prepping and cooking time drastically. Look for value-for-money kitchen tools that are a delight to possess and use. Cooking will definitely never be the same again!
As a homemaker spending hours in the kitchen, wouldn’t you love to have the best equipment close at hand? But, a limited budget curbs your dreams of having all those cool kitchen gadgets. The good news is that you don’t need to get everything at once. Rather than spending your hard-earned cash on less important things, do yourself a favour and get quality stuff to make your life easier.
Spending Money on Expensive Kitchen Equipment the Right Way
1. A food processor that can work overtime
Though you may find it difficult to stomach its sticker cost, you know that a powerful food processor will cut down your cooking time by hours. High-powered processors may bring you down to the tune of Rs. 10,000 above but are worth every rupee. You can make perfectly smooth smoothies, pureed soups, milk shakes and sauces that are out of this world. If you want to feel less guilty about spending too much, think of it as an investment for your loved ones’ health!
2. Scratch-proof frying pan
Have you been investing in cheaper non-stick, supposedly scratch-free cookware with the intention of replacing the same as soon as the coating starts wearing off? If yes, it’s time for some change. Eco-friendly and virtually scratch-proof, frying pans of good quality last for years and do not make you ingest flaked-off polytetrafluoroethylene (PTFE).
3. Kettle with variable-temperature settings
Among the expensive kitchen items worth buying is a variable-temperature kettle. Priced around Rs. 3,000 and above, these kettles are not for the thrifty homemaker. But you’ll love how they make brewing tea and making soups so much easier. Instead of just an on/off switch, you can set the temperature depending on what you want to make.
4. Stand mixer for avid bakers
To put into action all those fancy recipes, a more powerful stand mixer is what you need. Costing anywhere from Rs. 4,000 and above, you can get this versatile value-for-money kitchen tool home complete with a full suite of attachments!
5. High quality cutting board
Last but not the least in this list of expensive kitchen items is a top quality cutting board. It’ll go a long way in protecting your knives. Premium wood cutting boards are gentler on blades than their glass and plastic counterparts. If you’re looking towards preparing seafood and meat regularly, you should invest in wood composite boards that are dishwasher-safe and tagged at about Rs. 1,000 to over a whopping Rs. 5,000.
With these expensive kitchen equipment in your cooking space, you can start looking forward to creating tasty treats for your loved ones. Start saving up and investing in them to make cooking less of a chore and more of a fun experience. You’ll be amazed at what you’ve been missing out on and won’t want to go back! Read more
Suggested for you
Dr Sameer awadhiya has added a new answer
Guardian of 0 children
10 hours ago
Q. #asktheexperts what to do if the baby’s nose is blovked
Dr Sameer awadhiya
Paediatrician
10 hours ago
A. Nasal blockage is very common, specially in small children because of the narrow nasal cavity. Any kind of saline drops like nasal clear will be helpful in dissolving the stuffy secretions, which can be taken out by vnasal aspirator gently also steam inhalation will be helpful also, try to avoid keeping the child directly under the fan.
Ankita Mehta has added a new answer
Expecting Mom due in 4 months
7 hours ago
Q. 22 week pregnant,baby konse month me or din me kitni baar move kartaa he ,pls bataye abhi sirf 2, 3 baar hi hota he
Ankita Mehta
Mom of a 8 yr 7 m old girl
5 hours ago
A. hi
yes it's enough
and the frequency and timing may vary as we all are different
but yes, the frequency of feeling baby movements will increase now
please go for regular check-up to your gynecologist
and follow his or her suggestions
Rashmi has added a new answer
Trying To Conceive
6 hours ago
Q. hi
need help and advice
my RT 18x16mm and LT 10x16mm ET 6.59
and did ovulation rest also showing fertility test C as if now , pls advice if we intercourse tomorrow then when will be my ovulation start.
Rashmi
Mom of a 9 yr 7 m old girl
6 hours ago
A. You can check with an ovulation kit if it is positive then you can certainly go ahead with the conception because ovulation kit is going to give you 100% clarity whether you are ovulating or not with that you can try practising if you can conceive the same time
Dr Ghouse has added a new answer
Guardian of 0 children
2 hours ago
Q. Bread feeding mother can have green tea
Dr Ghouse
Paediatrician
2 hours ago
A. absolutely no problem to have green tea ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Rashmi has added a new answer
Guardian of 0 children
1 hour ago
Q. In my growth scan doctor found that 2 round cord has been partly around baby necks. Is there any problem with this. will I get normal delivery?
Rashmi
Mom of a 9 yr 7 m old girl
1 hour ago
A. A lot of times normal delivery is actually seen in these cases also if the doctor is quick and the child cooperate then yes normal delivery is very much possible but some doctors don’t take a chance with the health of your child and so they normally suggest C-section so let’s see what’s your situation by the end when you are into your labour
Sunita Mahato has added a new answer
Mom of a 1 m old child
11 mins ago
Q. #asktheexperts How to increase quantity of milk production?
Sunita Mahato
Mom of 3 children
9 mins ago
A. to increase milk take latction supplement as lactare...
take green papaya bottle gourd bitter gourd fennel seeds garlic oats ragi dalia sabudana ...
regular pumping increase milk use Babyhug electric breast pump...
Check out this new Memory
Naman Soni
Father of a 1 yr 5 m old girl and 1 yr 5 m old girl
New Memory
#stylishbaby
0 Likes
0 Comment
Check out this new Memory
Pragati
Guardian of a 9 m old boy
New Milestone
0 Likes
0 Comment
Check out this new Memory
Faseela
Mom of a 1 yr 11 m old boy
1 min ago
#kidno1
0 Likes
0 Comment
Check out this new Memory
preethy
Guardian of a 4 m old girl
3 mins ago
0 Likes
0 Comment
Check out this new Memory
Manju Krishna
Mom of a 9 m old boy
4 mins ago
#grandphoto
0 Likes
0 Comment
Tell us more about yourself get More Personalised
- Infant0 to 6 Months
- Baby6 Months to 2 Yrs
- Toddler2 to 4 yrs
- Kids4-6 yrs
- Big Kids6+ yrs
- Expecting
- Trying to Conceive