Neglected puerperal inversion of the uterus: ignorance makes acute a chronic form.
Inversion of uterus is a rare complication of vaginal delivery. The reported incidence of puerperal inversion varies from approximately 1 in 550 to 1 in several thousand normal deliveries. Maternal mortality has been reported to be as high as 15%, mainly because of associated life threatening blood loss and shock. Early diagnosis, prompt and aggressive management decrease the morbidity and mortality to minimal. We report a case of 21 year old primi, who presented to us with uterine inversion after delivery at a rural set up by untrained birth attendant ("Dai"). She was managed surgically with Haultain's operation and discharged after 5 days. She didn't turn up for follow up and was readmitted after 4 weeks with uterine reinversion associated with endometritis. A recent case is described, followed by a short review of literature.
Department of Obstetrics & Gynaecology/ JR-3, Department of Surgery, Government Medical College, Amritsar, Punjab, India.
Sardha
S
Minakshi
Atri
A
Shivani
Anjum
A
Arshad
D036861:Delivery, Obstetric / Q000009:adverse effects* / Q000379:methods; D004716:Endometritis / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D008880:Midwifery / Q000193:education / Q000592:standards; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D012008:Recurrence; D019035:Rural Health Services / Q000592:standards; D019687:Uterine Inversion / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D055815:Young Adult