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Flashcards in Uterine Inversion Deck (11):
0

Most common cause uterine inversion?

Undue traction of the cord before placental separation

1

Four signs of placental separation?

1. Gushing blood
2. Lengthening of the cord
3. Globular and firm shape of the uterus
4. Uterus rises up to anterior abdominal wall

2

Abnormally retained placenta?

Third stage of labor that has exceeded 30 minutes

3

Uterine inversion?

Fundus of the uterus moves through the cervix into the vagina

4

Patient at particular risk of uterine inversion?

Grand-multiparous patient with placenta attached to fundus

5

Patient with inverted uterus – treatment?

1. Two large bore IV lines
2. Uterine relaxation – halothane
3. If placenta has separated, manual replacement of uterus
4. Terbutaline or magnesium sulfate to relax uterus (if necessary)
5. Once in normal location, uterotonic agents (oxytocin)

6

Patient with an abnormally retained placenta – next step?

Manual extraction attempt

7

Point of giving oxytocin?

Allows uterus to contract down on itself, stopping bleeding

8

Inaccessible inverted uterus, next step?

Uterine relaxing agent (halothane) >terbutaline/magnesium sulfate

9

Why does inverted uterus cause hemorrhage?

Unable to contract, therefore unable to temper bleeding

10

Most common cause of hemorrhage in inverted uterus?

Uterine atony