Archives of gynecology and obstetrics
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Inversion of the uterus through the uterine incision during caesarean section is a rare event. Therapy is usually simple and maternal morbidity is low when re-inversion of the uterus can be accomplished immediately. In cases of prolonged uterine inversion thereof, haemodynamic instability and shock, often out of proportion to the degree of blood loss, have been reported as serious sequelae. ⋯ The mechanisms of haemodynamic instability and the technical aspects of manual reduction of the inverted, heavily contracted uterus during caesarean section are discussed.
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Arch. Gynecol. Obstet. · Mar 2004
Review Case ReportsPregnancy outcome after operative correction of puerperal uterine inversion.
Uterine inversion is an uncommon but life-threatening obstetric emergency. A review of the approaches to correct uterine inversion is presented. ⋯ In subsequent pregnancy, antenatal care should include placental localization and planning for an elective Caesarean Section. The outcome of future pregnancies may be complicated by placenta accreta and massive haemorrhage.
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Arch. Gynecol. Obstet. · Mar 2004
Case Reports Comparative StudyComparison between spontaneous ovarian hyperstimulation syndrome and hyperreactio luteinalis.
We present here two patients with bilateral ovarian enlargement during the first trimester of pregnancy. We clinically diagnosed one case as spontaneous ovarian hyperstimulation syndrome and the other case as hyperreactio luteinalis. ⋯ It may be difficult to discriminate severe hyperreactio luteinalis in the first trimester from spontaneous ovarian hyperstimulation.