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Acute inversion of the uterus

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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

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