Re: Inverted uterus

From: james connerth (babydoc@apex.net)
Mon Mar 15 12:21:01 1999


Iv fluids and replacement-pain relief--if recognized immediately---place inverted fundus in palm of hand and push cephlad--than with hand in uterine cavity-external massgage and methergine or oxytocin.I've done 2--did not need ut. relaxant.Laparotomy usually in cases seen later-should be rarely needed if dx'd quickly.Again shock may be out of proportion to blood loss---is primarily neurogenic as Dan described.

luis daniel flores wrote:

> please will any one comment on the manouvre to replace an inverted uteros?
> thanks
> Luis Flores MRCOG





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