title: Puerperal inversion of the uterus in Nepal: case reports and review of literature.
abstract: Retrospective study of 6 cases of puerperal inversion of the uterus is being presented from 1975 to 1995 and a review of literature for 20 years of the period 1975-1995 has been summarised. In the present series, one case with acute puerperal inversion of uterus were treated by manual reposition, 2 cases of chronic puerperal inversion of uterus was treated surgically by Kustner's vaginal approach. Two cases with subacute puerperal inversion of uterus, 1 case of chronic puerperal inversion were treated by Haultain and Huntington method. Out of 241 cases of uterine inversion obtained from review of literature for last 20 years, 229 (95%) constituted puerperal and 12 (5%) were non puerperal inversions. Among puerperal inversions, 191 (83.4%) cases were of acute type and only 6 (2.62%) cases were of subacute variety. The chronic puerperal inversion constituted 32 (13.9%). Out of 63 cases of uterine inversions in India, maternal deaths were reported as 6 (9.5%) but there was no maternal death in the present series.
authors.affiliation: Maternity Hospital, Kathmandu, Nepal.
authors.forename: S M
authors.initials: SM
authors.lastname: Dali
authors.forename: S
authors.initials: S
authors.lastname: Rajbhandari
authors.forename: S
authors.initials: S
authors.lastname: Shrestha
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009390:Nepal; D011247:Pregnancy; D011644:Puerperal Disorders / Q000453:epidemiology* / Q000601:surgery; D014591:Uterine Diseases / Q000453:epidemiology* / Q000601:surgery