What are the degrees of uterine inversion?
2nd degree (complete): The top part of your uterus folds into the opening of your uterus (cervix), like a sock that is turned inside out. 3rd degree (prolapsed): The top part of your uterus enters the deepest part of your vaginal canal. 4th degree (total): Both your uterus and your vagina protrude outside your body.
Are there 3 degrees of uterine inversion?
First-degree – the inverted fundus extends to, but not through, the cervix. Second-degree – the inverted fundus extends through the cervix but remains within the vagina. Third-degree – the inverted fundus extends outside the vagina. Total inversion – the vagina and uterus are inverted.
What is the most common cause of uterine inversion?
Excessive umbilical cord traction with a fundal attachment of the placenta and fundal pressure in the setting of a relaxed uterus are the 2 most common proposed aetiologies for uterine inversion.
What is acute inversion of the uterus?
Acute uterine inversion is a rare and life-threatening post-partum complication which often occurs when the placenta fails to detach from the uterus after childbirth. The uterine fundus falls into the endometrial cavity and may descend to the cervix (incomplete) or beyond the cervix (complete).
What is third degree uterine prolapse?
Third-degree prolapse: The vagina or womb has dropped down so much that up to 1 cm of it is bulging out of the vaginal opening. Fourth-degree prolapse: More than 1 cm of the vagina or womb is bulging out of the vaginal opening.
What is cord traction?
Controlled cord traction (CCT) is traction applied to the umbilical cord once the woman’s uterus has contracted after the birth of her baby, and her placenta is felt to have separated from the uterine wall, whilst counter-pressure is applied to her uterus beneath her pubic bone until her placenta delivers.
What is the duration of puerperium period?
Puerperium is defined as the time from the delivery of the placenta through the first few weeks after the delivery. This period is usually considered to be 6 weeks in duration.
What is chronic inversion?
Uterine inversion is a condition in which the uterus turns inside out with prolapse of the fundus through the cervix. It is a rare complication of mismanaged labour. Inversion varies in degree from a mere dimpling of the fundus to involvement of the whole uterus and cervix. It is seen in acute and chronic forms.
What is cervical inversion?
Cervical inversion was applied when placental bleeding was persistent and the sites could not be clearly located. The cervix is inverted using ring forceps or straight Allis forceps, after which the placental bed is sutured to control bleeding.
What is second-degree uterine prolapse?
A second-degree prolapse occurs when the cervix is level with the vaginal opening. When the cervix is outside of the vagina, the prolapse is classified as third degree. When the entire uterus is outside of the vagina, the prolapse is fourth degree and referred to as procidentia.
Is uterine prolapse and inversion the same?
This includes: Incomplete inversion – the top of the uterus (fundus) has collapsed, but the uterus hasn’t come through the cervix. Complete inversion – the uterus is inside-out and coming out through the cervix. Prolapsed inversion – the fundus of the uterus is coming out of the vagina.
Why oxytocin is given after delivery?
Oxytocin prevents excessive postpartum bleeding by helping the uterus to contract. It is given to the mother by injection into a vein or into muscle during or immediately after the birth of her baby.