What are the risk factors for uterine inversion?

RISK FACTORS Risk factors for inversion, which are present in fewer than 50 percent of cases, include macrosomia, rapid or prolonged labor and delivery, short umbilical cord, preeclampsia with severe features, use of uterine relaxants, nulliparity, uterine anomalies or tumors (leiomyoma), retained placenta, and …

Which of the following placental implantation sites would most likely predispose to an inverted uterus?

Short umbilical cord. Pulling too hard on the umbilical cord to hasten delivery of the placenta, particularly if the placenta is attached to the fundus. Placenta accreta (the placenta has invaded too deeply into the uterine wall). Congenital abnormalities or weaknesses of the uterus.

Can uterus be repositioned?

Surgery – using laparoscopic (‘keyhole’) surgery techniques, the uterus can be repositioned so that it sits over the bladder. This operation is relatively straightforward and usually successful. In some cases, the surgical removal of the uterus (hysterectomy) may be considered.

Is a retroverted uterus more likely to prolapse?

The retroverted uterus, when diagnosed by transvaginal ultrasound (bladder empty), is far more common in urogynecology patients due to their higher incidence of prolapse.

Can a tilted uterus cause heavy periods?

A tilted uterus is associated with more painful periods. A 2013 study measured the degree of flexion in 181 women who had significant pain during periods and found that the more tilted the uterus was, the more painful their periods were.

How often does a uterine inversion occur in India?

A uterine inversion is a rare event, complicating about 1 in 2000 to 1 in 23,000 deliveries. Ironically, most are seen with “low-risk” deliveries. The incidence is 3-times higher in India as compared to the United States. The incidence of uterine inversion has decreased 4-fold after the introduction of active management during the third stage.

Can a uterine inversion be a life threatening complication?

Uterine inversion is a rare complication of the third stage of labor but is potentially life-threatening. Although largely preventable, some occurrences are unavoidable.

How is uterine inversion reduced by active management?

Implementation of this protocol reduced the incidence of uterine inversion fourfold compared with a prior epoch in which active management was not used. Whether retained placenta or placenta accreta, or its variants, are associated with uterine inversion is unclear.

Can a placenta be removed after an uterine inversion?

If efforts at manual replacement are not successful surgery is required. After the uterus is replaced oxytocin and antibiotics are typically recommended. The placenta can than be removed if it is still attached. Uterine inversion occurs in about 1 in 2,000 to 1 in 10,000 deliveries.