Uterine inversion is a fatal pregnancy complication. This rare condition occurs when the uterus  partially or completely turns  inside out after delivery of a baby. This causes the very top of the uterus (fundus) to completely protrude out of the cervix or even completely out of the vagina. The placenta usually detaches from the uterine wall and exists the vagina after childbirth.  Sometimes the placenta  remains attached to the uterine wall and attempts to deliver it may cause  uterine inversion.
 

 
Uterine inversion can cause postpartum hemorrhage which can be so severe such that the patient may go into shock. This fatal condition can be treated if detected  early.

What are the causes of uterine inversion ?

 
The exact cause of uterine  inversion is unknown  however some of the possible causes includes the following :

• previous uterine inversion
• placenta acrreta , a condition in which the placenta implants deep in the wall of the uterus
• magnesium sulfate therapy during labor
• fundal implantation of the placenta which is when the placenta implants at the very top of the uterus
• pulling the umbilical cord forcefully in an attempt to deliver the placenta

How is uterine inversion treated ?

 
The doctor or midwife will reposition the uterus. He will push the fundus back through the cervix.  An IV will be started immediately if you don’t  already have one. You may also be given pain medication to control pain and medication to relax your uterus.  Abdominal surgery may be needed to reposition the uterus to it’s original position but this is not common.

Once the uterus is at its original position, medication that was used tor relax the uterus will be stopped.  You will  be given a continuous IV infusion of  oxytocin to help make the uterus firm. This is so that it stays where is belongs and stops bleeding. Until your uterus gets firm, your health care provider will apply pressure to it with one hand inside your vagina  and the other on your belly. This will compress the uterus and control bleeding .

You will be closely monitored by your medical team. Your vital signs  and bleeding will be monitored. You may be given antibiotics to prevent infection. You will also get blood transfusion as needed. It is advised that you do not get up if you feel light-headed or weak.

At home you need to get lots of rest . You also need to eat nutritious foods and drink lots of fluids. You need to follow the instructions  on the letter your healthcare provider gave you.

NOTE

You are at risk of getting another uterine inversion once you’ve had one. Like any other medical condition , you need let your health care provider know of your medical history so that he can prepare for any such emergencies.
 
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