Uterine inversion Flashcards
1
Q
What is Grade 1 UI?
A
funds inverts into cervical canal
2
Q
What is Grade 2 UI?
A
funds inverts into vagina
3
Q
What is Grade 3 UI?
A
funds is visible at the introits
4
Q
What is Grade 4 UI?
A
funds is visible below the introits
5
Q
Risk factors for UI?
A
short umbilical cord, VBAC, excessive traction/inappropriate pressure, previous UI
6
Q
Diagnosis?
A
maternal collapse/shock, VE, Bradycardia, hypotension
7
Q
Management?
A
Treat for shock, replace uterus, treat PPH, DO NOT remove placenta, laparotomy, tocolysis (terbertuline), oxytocin
8
Q
What other methods can we use?
A
hydrostatic method, tamponade blood catheter, oxytocin, laparotomy