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Uterine inversion

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Uterine inversion

  1. 1. Uterine Inversion Donna Adelsperger, RN, M.Ed
  2. 2. Definition: Uterine Inversion <ul><li>Uterus turned inside out in 3 rd stage labor </li></ul><ul><ul><li>Occurs when uterus is atonic and cervix open and placenta attached </li></ul></ul><ul><ul><li>Fundus of uterus moves through the vagina and the tugging on peritoneal structures causes strong vasovagal response leading to hypotension </li></ul></ul>
  3. 3. Uterine Inversion <ul><li>If placenta is completely or partially separated bleeding is excessive </li></ul><ul><li>If not quickly corrected it may become life-threatening </li></ul><ul><li>Occurs very rarely </li></ul><ul><li>Occurs when health care provider exerts fundal pressure while tugging on the cord </li></ul>
  4. 4. Uterine Inversion: Management <ul><li>Diagnosis is apparent if a shaggy ball is seen with placenta attached and it is protruding from the vaginal opening </li></ul><ul><li>Signs of hypovolemic shock occur so need for rapid infusion IV fluids (No oxytocin) </li></ul><ul><li>Get help!!! </li></ul>
  5. 5. Uterine Inversion: Management <ul><li>Placenta should be manually removed </li></ul><ul><li>Gradual, continuous replacement of uterus </li></ul><ul><li>After uterus replaced oxytocin used to increase uterine firmness to control bleeding at placental site </li></ul>

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