PubMed · 1984 · 13 citations · 0 references
MedicineGynecologyObstetricsObstetric ComplicationsObstetric HemorrhagePostpartum Hemorrhage ManagementIntrapartum HemorrhageObstetric Hemorrhage ManagementPostpartum HemorrhagePrevention Of Obstetric HemorrhageUterine RuptureUterotonic TherapyAcute Uterine Inversion ManagementBlood Loss ReplacementMajor HemorrhagePostpartum BleedingPostpartum Uterine InversionRecurrenceRuptured UterusUterotonic Surgical Management
The present report describes an unusual case of recurrent puerperal uterine inversion causing major postpartum hemorrhage. Blood replacement, oxytocin, and ergot therapy along with manual reduction failed to prevent immediate recurrence, but treatment with 15(S)-15-methyl prostaglandin F2 alpha (Prostin 15M) and uterine packing were successful. It is recommended that 15(S)-15-methyl prostaglandin F2 alpha be available in all obstetric suites for the management of similar emergencies.