CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A 25 years old pregnant female has developed a rare complication in the third stage of labor. She has complete uterine inversion. Of the following, which complication can occur?

Shock
Hemorrhage
Pulmonary embolism
All of the above

Explanation

Answer: D - All of the above
Uterine inversion is a rare complication in the third stage of labor, in which the uterus is (incompletely or completely) turned “inside out”. Complications of uterine inversion include:
1. Neurogenic shock (due to tension on the nerve)
2. Hemorrhage
3. Pulmonary embolism
4. Infection
5. Uterine sloughing

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