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Uterus reversal: symptoms, treatment
Last reviewed: 18.10.2021
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Eversion of the uterus is a rare severe condition, in which the uterus body is turned inside out and falls out of the vagina beyond the sexual slit. Usually the uterus is turned out in cases when too much tension is applied to the umbilical cord when trying to isolate the placenta. Excessive pressure on the bottom of the uterus in the allocation of the placenta, as well as the presence of a flaccid uterus or an increase in the placenta can lead to this state.
Treatment of uterine eversion
Treatment for uterine eversion is an immediate manual correction until the uterus returns to its normal position. Because of discomfort, it is sometimes necessary to introduce an aggressive injection of analgesic and sedatives. If necessary, terbutaline is used 0.25 mg intravenously, nitroglycerin 50 μg intravenously or inhalation anesthetics. If attempts to restore the uterus are unsuccessful, laparotomy is necessary; manipulations with the uterine fundus are carried out vaginally or abdominally to return the uterus to its normal position. As soon as the uterus is in place, it is necessary to begin the infusion of oxytocin.