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Abstract
SURVIVING THE INEVITABLE: A JOURNEY THROUGH UTERINE INVERSION
Dr. Zamurrad Parveen, Dr. Nilofer Shama, Kashif Husain Ghazali and Dr. Md. Asjad Karim Bakhteyar*
ABSTRACT
Uterine inversion is the complication of third stage of Labor, in which the uterus is turned inside out partially or completely. Its incidence varies between different population (1:2000 – 50000) births. It is an obstetrical emergency leading to shock in which shock is out of proportion of the blood loss and it can also lead to death. Immediate treatment of uterine inversion is required, a manual reduction if not possible then surgical management by different techniques can be life saving. Three different females with normal vaginal delivery at different government center at peripheral hospital came with complain of bleeding per-vaginum and shock. Clinical diagnosis was made as uterine inversion. Appropriate measures done to save the patient’s life. Uterine inversion is a potent life-threatening condition. It can be prevented by careful monitoring of third stage of Labor and by controlled cord traction. Pulling the cord simultaneously with fundal pressure should be avoided. Its prognosis is grooming, sometimes if patient survives infection, sloughing of the uterus and chronic inversion with poor health may occur.
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