Inversion of the Uterus Quiz

Cord Prolapse

• A common predisposing factor for cord prolapse is a vertex malpresentation.

Management of Prolapsed Umbilical Cord

• The initial action to be taken is to elevate the presenting part to relieve cord compression.

Uterine Inversion

• The primary complication associated with uterine inversion is maternal hemorrhage.
• In the initial management of a completely inverted uterus, the uterus should NOT be pushed back into the pelvis.
• In the management of a partially inverted uterus, the key step is to replace the uterus by pushing it upwards and backwards.

Subsequent Pregnancies after Uterine Inversion

• The recommended mode of delivery for subsequent pregnancies after a uterine inversion is a cesarean section.

Vertex Malpresentations

• A vertex malpresentation is a face presentation.

Occiput Transverse Position

• The recommended management for an occiput transverse position is to await spontaneous rotation or to perform manual rotation.

Complications of Precipitate Labor

• A potential maternal complication associated with precipitate labor is perineal trauma.
• A potential fetal complication associated with precipitate labor is birth asphyxia.
• The maternal complication of precipitate labor is perineal trauma.

Management of Precipitate Labor

• In the management of precipitate labor, the perineum should be supported to prevent perineal trauma.
• In a multiparous woman with a history of brief past labor, the recommended management for precipitate labor is to slow down the labor process with tetrahydroisoline or magnesium sulfate.

Inversion of the Uterus

• A predisposing factor for inversion of the uterus is a fundal placenta.
• The definition of inversion of the uterus is a condition where the uterus turns inside out after delivery, often resulting in severe bleeding.

Other Complications

• A potential complication associated with shoulder presentation (transverse lie) is fetal distress.
• A potential complication associated with compound presentation is umbilical cord prolapse.
• One of the fetal complications of precipitate labor is cephalohematoma.