Uterine inversion
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
- 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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