SISTER NIVEDITA GOVT.

NURSING COLLEGE
IGMC SHIMLA
SUBJECT:- OBSTETRIC AND GYNAECOLOGY

TOPIC:- INVERSION OF UTERUS

SUBMITTED TO:- SUBMITTED BY:-

MRS.AMITA PURI SAPNA THAKUR
POST BASIC BSN 1ST YR

ROLL NO. 24

SUBMITTED ON:- 20.FEB.2020

 INVERSION OF UTERUS
 INTRODUCTION:- This is rare but potentially
life threatening complication of the 3rd stage of
labour.
 It occurs in approximately 1 in 20,000
deliveries.
 The obstetric inversion is almost always an
acute one & usually complete.
DEFINITION:- When uterus turn inside
out,partially or completely it is called uterine
inversion.
(OR)
Uterine inversion is the folding of the fundus into
the uterine cavity in varying degree.

CLASSIFICATION:- Inversion of uterus is

classified in mainly 3 types :
A. According types
B. According degree
C. According the timing of event
SIGN & SYMPTOMS
 MANAGEMENT
 Call for extra help
 Before the shock develops, urgent manual
replacement even without anesthesia if it is not
readily available ,is the essence of treatment for a
skilled birth.
PRINCIPAL STEPS:-

1) To replace the part first which invert last with the

placenta attached to the uterus by steady firm
pressure exerted by the finger.
2) To apply counter support by the other hand
placed on the abdomen .
3) After replacement the hand should remain
inside the uterus untill the uterus become
contracted by parentral oxytocin .
4) The placenta is to be removed manually only
after the uterus becomes contracted . The
placenta may however be removed prior to
replacement – (a) to reduce the bulk which
facilitate replacement or (b) if partially
separated to minimize the blood loss.
5) Usual traetment of shock including blood
transfusion should be arrange simultaneously.
 After the shock develops:-
1. The treatment of shock be instituted with an
urgent normal saline drip and blood
transfusion.
2. To push the uterus inside the vagina if possible
& pack the vagina with antiseptic roller gauze.
3. Foot end of the bed is raised.
4. Replacement of the uterus either manually or
hydrostatic method under general anesthesia
to be done along with resuscitative measures.
Hydrostatic method is quite effective and less
shock producing.