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Uterine inversion

Authoring team

Inversion of the uterus occurs in 1 in 5000 deliveries. Rarely it is a spontaneous event but usually results from mismanagement of the third stage.

The Brandt-Andrews method for delivery of the placenta reduces the risk of uterine inversion.

Uterine inversion is more common when:

  • cord traction is used for delivery of the placenta without effective guarding of the uterus
  • there is a fundal implantation of the cord
  • the uterus is lax

Reference

  1. Wendel MP, Shnaekel KL, Magann EF. Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency. Obstet Gynecol Surv. 2018 Jul;73(7):411-417

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