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[The treatment of obstetrical uterine inversion. Apropos of 3 cases]
H J Philippe1, F Goffinet, F Jacquemard
1Centre Hospitalier Intercommunal, Poissy.
Abstract:
Uterine inversion is exceptional and spectacular, although treatment is simple if diagnosed early. Three cases are reported with a review of possible obstetrical procedures for reduction. Manual repositioning by central pressure is emphasised. General anesthesia is generally needed because of associated state of shock. The three principal steps of manual reduction are: intra-abdominal repositioning of the uterus, removal of placenta, intramural injection of ocytocine to avoid immediate relapse. Ideally, obstetrical procedure should be carried out within one-half hour after inversion.