[Inversio uteri is a rare but potentially lethal obstetric complication]

Karina Fogh Trelborg1, Birgitte Freilev Lindved1

  • 1Kvindesygdomme og Fødsler, Regionshospitalet Horsens.

A case of puerperal uterine inversion is, in this case report, presented in a low risk 29-year-old para 2. After a difficult manual removal of placenta, the patient became disproportionally hypovolaemic shocked compared to blood loss. When the diagnosis was recognized, uterus was reverted, and bleeding ceased momentarily. The precise aetiology of uterine inversion is not known, but factors such as prolonged duration of labour, abnormal placentation and manipulation of third stage of labour have been proposed. The severity and unpredictable nature emphasize the importance of every birth attendant being aware of this condition.

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