Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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In order to prevent uterine inversion, one should not employ any method to expel the placenta out of the body when the uterus is relaxed (and pulling of the umbilical cord simultaneous with fundal pressure should be avoided). Of the following, which is proper management specifically for uterine inversion?
  1. Urgent manual replacement (of the uterus)
  2. Oral food supplementation
  3. Salbutamol inhalation administration
  4. None of the above
Explanation
Answer: A - Urgent manual replacement (of the uterus)
Uterine inversion is a rare complication in the third stage of labor, in which the uterus is (incompletely or completely) turned “inside out”. There are three degrees of uterine inversion as follows: 1) First degree (in which the inverted fundus extends to-but not through- the cervix); 2) Second degree (in which the inverted fundus extends through the cervix, but remains within the vagina); and 3) Third degree (in which the inverted fundus extends outside of the vagina).
Management for inversion of the uterus includes:
1. Urgent manual replacement (of the uterus)
2. Correction of dehydration and ketoacidosis
3. Blood transfusion
4. Nothing by mouth
5. I.V. fluid administration
6. Oxygen administration
7. Analgesic administration
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