What is the treatment for uterine inversion?

I believe that many women do not know what kind of disease uterine inversion is or under what circumstances it occurs. They only hear that once the disease occurs, it will be more serious. If it is not treated in time or treated improperly, it will cause life-threatening danger. Well, today I will give you some common knowledge about uterine inversion.

What is uterine inversion

Uterine inversion is a complication of labor and delivery, characterized by the fundus of the uterus sinking into the uterine cavity or even turning out from the cervix. Clinically, it is divided into acute (within 24 hours after delivery), subchronic (within 24 hours to 4 weeks after delivery), and chronic uterine inversion (4 weeks after delivery or in non-delivery women) according to the time of occurrence in the mother.

Some people also divide it into three degrees according to the different degrees of uterine inversion. The first degree is incomplete inversion of the uterus; the second degree is complete inversion of the uterus, with the fundus located in the vagina; the third degree is complete inversion of the uterus, with the fundus turned out of the vagina.

This complication is relatively rare in clinical practice, among which acute uterine inversion occurs more frequently, mainly in the third stage of labor, and is mostly caused by incorrect management of labor.

The symptoms of uterine inversion are acute. If not treated in time, the mother will suffer from shock and bleeding, which may eventually lead to serious consequences such as death within 3 to 4 hours after uterine inversion.

Causes of uterine inversion

The causes of uterine inversion are related to improper labor management by obstetric medical staff, the physical condition of the mother, the method of delivery, etc. At the same time, most mothers have uterine relaxation.

1. Impact on the delivery process. It is caused by strong pulling of the placenta and umbilical cord attached to the bottom of the uterus during delivery. The umbilical cord can easily break from the placenta if pulled hard, and the uterus can easily turn inward if it is relaxed.

2. Umbilical cord factor. If the fetus's umbilical cord is relatively short or entangled, excessive pulling on the umbilical cord during delivery may also cause uterine inversion.

3. Maternal physical factors. Some women, due to uterine hypoplasia or maternal weakness, hold their breath due to excessive physical excitement such as coughing during labor, which increases abdominal pressure and causes uterine inversion. Some women with pregnancy-related hypertension may experience uterine relaxation and uterine inversion when using magnesium sulfate.

4. The mother gives birth while standing. During standing delivery, the relatively large weight of the fetus can easily pull on the umbilical cord and cause uterine inversion. because. Using it during pregnancy-induced hypertension can relax the uterus and also cause uterine inversion. Partial placenta accreta can also cause the uterus to invert.

5. Weak uterine wall. The uterine wall of some women is relatively weak, especially the fundus of the uterus, which has poor resistance to the uterine cavity. In addition, pathological factors such as uterine tumors can destroy the surrounding uterine smooth muscle by invading or compressing it, causing uterine inversion due to the effect of the tumor growth on the muscle wall.

Treatment of uterine inversion

Uterine inversion develops rapidly, so emergency treatment is required clinically. Generally, the inverted uterus can be repositioned through surgery, and some women with severe symptoms may need a hysterectomy. After Western medicine treatment, the mother can take Chinese medicine for conditioning under the doctor's advice.

For the treatment of uterine inversion, it is best to detect and diagnose it in time. During the process of uterine inversion, it is necessary to actively relieve the pain of the mother and control symptoms such as bleeding, infection and shock.

After confirming uterine inversion, first aid should be given to the mother immediately, and anti-shock, blood transfusion and infusion treatment should be performed first. If necessary, pressor drugs, sedatives and analgesics can be used, and reduction surgery can be performed after the condition improves.

After controlling pain, bleeding, etc., treatment measures such as preserving the uterus or removing the uterus are taken according to the degree of uterine inversion, the mother's general condition, the degree of infection, and whether she wants to have another child.

From this, we understand what uterine inversion is and what causes it. I believe everyone is aware of the doctors' treatment methods for this condition. The editor would like to remind everyone that the incidence of this type of disease in normal mothers is relatively low, so you don't have to worry too much. As long as you follow the doctor's advice and cooperate with the doctor's treatment, it can be cured.