Uterine inversion is a potentially life-threatening complication of childbirth. Normally, the placenta detaches from the uterus and exits the vagina around half an hour after the baby is delivered. Uterine inversion means the placenta remains attached, and its exit pulls the uterus inside-out.
In most cases, the doctor can manually detach the placenta and push the uterus back into position. Occasionally, abdominal surgery is required to reposition the uterus.
The rate of uterine inversion is estimated from one in 2,000 to one in several hundred thousand labours. Estimates vary widely - depending on the study. The mother’s survival rate is about 85 per cent. The cause of death includes massive bleeding (haemorrhage) and shock.
betterhealth.vic.gov.au
Nursing Intervention for Uterine Inversion
- Monitor for signs of hemorrhage and shock and treat shock
- Prepare patient to reposition the uterus to the correct position via the vagina or laparatomy if unsuccessful.