Managing Major Postpartum Haemorrhage following Acute Uterine Inversion with Rusch Balloon Catheter.
Acute postpartum uterine inversion is a relatively rare complication. The uterus inverts and the uterine fundus prolapses to or through the dilated cervix. It is associated with major postpartum haemorrhage with or without shock. Shock is sometimes out of proportion to the haemorrhage. Minimal maternal morbidity and mortality can be achieved when uterine inversion is promptly and aggressively managed. We present this report of three cases of acute uterine inversion complicated with major postpartum haemorrhage and managed with Rusch balloon. The paper highlights the importance of early recognition and the safety of the use of intrauterine balloon to manage major postpartum haemorrhage in these cases.
Department of Obstetric and Gynaecology, Jessop Wing, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Tree Root Walk, Sheffield S10 2SF, UK.
Remon
R
Keriakos
Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2SF, UK.
Smriti Ray
SR
Chaudhuri