title: Acute puerperal inversion of the uterus--an obstetric emergency.
abstract: Over a 17-year period, 15 patients with acute puerperal inversion of the uterus were managed at the University Hospital, Kuala Lumpur, an incidence of 1 in 4,836 deliveries. Injudicious traction on the umbilical cord before the uterus was well contracted, was probably the most important causative factor. Haemorrhage was more severe when removal of the placenta was done prior to correction of the inversion. Either the hydrostatic method or manual replacement were used but more often a combination of both techniques was found necessary. With careful management of the third stage of labour, this complication can be avoided.
authors.affiliation: Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: S P
authors.initials: SP
authors.lastname: Rachagan
authors.forename: V
authors.initials: V
authors.lastname: Sivanesaratnam
authors.forename: K P
authors.initials: KP
authors.lastname: Kok
authors.forename: S
authors.initials: S
authors.lastname: Raman
mesh_terms: D000328:Adult; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011247:Pregnancy; D011644:Puerperal Disorders / Q000628:therapy*; D012769:Shock / Q000628:therapy; D014591:Uterine Diseases / Q000628:therapy*; D014592:Uterine Hemorrhage / Q000628:therapy