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PPH with inversion of uterus and trapped bowel loop in India From: emilio porro (sanbonav@hotmail.com) Sun Feb 3 11:37:29 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: AllanHo@aol.com: "Re: PPH with inversion of uterus and trapped bowel loop." Previous message: Efrain Ramirez: "Re: PPH with inversion of uterus and trapped bowel loop." In reply to: Efrain Ramirez: "Re: PPH with inversion of uterus and trapped bowel loop." Next in thread: AllanHo@aol.com: "Re: PPH with inversion of uterus and trapped bowel loop." If correct You are e-mailing from India(drseshasai@yahoo.co.in) and probably this woman’s birth was at home.In such conditions in my opinion the only think to do was if possible to explore with a sterile gauze mounted on a plier with rings from a doctor o a midwife the vagina ,the uterine cervix and the uterine cavity thus removing residual placental membranes and pushing up uterine fundus avoiding uterine inversion.In a hospital You can do an abdominal pelvic ecography to see uterus and its content (It happened to me to see placental succenturiate cotyledon with post partum continuous bleeding two months ago)Hope this helps.Yours faithfully -- Emilio Porro M.D. Ob.Gyn. Como Italy http://www.sanbonaventura.com who,whose, with,what,why,where,when,while,watch world wide web At Sun, 3 Feb 2008, Efrain Ramirez wrote: > >IMHO - delay in diagnosis.. strange that upon palpation it wasn't >noticed.. good luck.. > >Ef > >>At Sun, 3 Feb 2008, tirupati seshasai wrote: >> >>PPH with inversion of uterus and trapped bowel loop. >> >> 3rd Para normal vaginal delivery on 31st January 2008 at 4,00pm and at 10.00 pm she had PPH. She was treated for the PPH and transferred for a tertiary care hospital 50 kms away. Her general condition was poor and she appeared paler. >> Her PR 110/minute and regular. >> BP 70mm of Hg. >> P.A;.uterus contracted and bleeding from os seen. >> She was transfused 5 bags of B+ve cross-matched blood and revived. >> On 2nd day of postpartum day still she was toxic and hypo-tensive, >> Explorative laparotomy planned and laparotomy done. >> 14” bowel loop was gone inside of the inversion of uterus and congested, >> Total abdominal Hysterectomy done and excision of the small bowel loop of 18” done and anstomosis done, Patient was on ventilator and gradually stabilized. >> >> On 4th she developed renal failure and now she required Dialysis >> >>--------------------------------- >> 5, 50, 500, 5000 - Store N number of mails in your inbox. Click here. >>--------------------------------- >>--------------------------------- >>--------------------------------- >>--------------------------------- >>--------------------------------- >>--------------------------------- >>--0-1901210948-1202034821=:37489 >> >>-- >> >-- >"I can accept failure, but I can't accept not trying." - Michael Jordan > Next message: AllanHo@aol.com: "Re: PPH with inversion of uterus and trapped bowel loop." Previous message: Efrain Ramirez: "Re: PPH with inversion of uterus and trapped bowel loop." In reply to: Efrain Ramirez: "Re: PPH with inversion of uterus and trapped bowel loop." Next in thread: AllanHo@aol.com: "Re: PPH with inversion of uterus and trapped bowel loop."

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