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Re: complications with retroverted uterus in pregnancy

From: Anna Meenan, MD (anonymous@obgyn.net)
Thu, 23 Jul 1998 18:12:22 -0500 (CDT)


At Thu, 23 Jul 1998, Katherine wrote: >
>At what point in the pregnancy should the retroverted uterus have turned
>to the normal position? Should the woman be able to feel this herself
>(ie: will the cervix change from being straight in line with the vagina
>to a different position).
>
>Problems with the uterus not turning, but instead getting caught in the
>pelvis and pushing up on the bladder are admittedly very rare, but
>presumably they do happen occasionally. At what point should the woman
>start to concerned and what symptoms should she look out for?
>
>I am at 11 weeks from LMP now and urinating frequently, including 4 - 5
>times during the night, and have just recently started experiencing low
>back pain and pelvic congestion. What is the latest point in the
>pregnancy that the uterus will turn correctly on its own? In the
>unlikely event of it NOT turning, how successful is the obstetrical
>manoevure for correcting it and realistically, how often does the baby
>survive? It seems like a very violent adjustment to me.
>
>Many thanks.

I have read a couple of case reports where the fundus became entrapped in the pelvis and the anterior wall of the uterus grew upwards, pulling the cervix up out of the vagina and ultimately requiring delivery by c-section, but this is EXTREMELY rare. If your cervix is still palpable vaginally at 15-20 weeks, then it did't happen to you. Hands and knees pelvic rocking can alleviate back pain.

--
Anna Meenan, MD



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