Acute Puerperal Uterine Inversion : Case Report

Abstract

Acute puerperal uterine inversion may cause severe blood loss and death. Rapid diagnosis and rapid reposition of the prolapsed uterus are the important points of management. ⁽¹⁾ To avoid the invasive methods and delayed treatment, anesthetic gas and tocolytic agents were used to relax constricted cervical ring. ^(1,2) Tocolytic agents were advocated as the drugs of choice. The patient in this report had two episodes of acute puerperal uterine inversion. She was profounding shock and drowsy conscious, but manual reposition was successfully done. The first attempt was without tocolytic agents or anesthetic gas. The second attempt was under halothane inhalation. The rationale of choosing halotane instead of tocolytic agents will be discussed.