Acute uterine inversion in a rural African woman: A rare consequence of child birth

A case study of Ms. TE a 38-year-old Para7 +0 with seven living children is presented. Ms. TE had no antenatal care and was rushed to hospital with features of acute incomplete uterine inversion, 90 min after a spontaneous vaginal birth at home. The birth was supported by the second wife of her husb...

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Bibliographic Details
Published in:Women and birth : journal of the Australian College of Midwives 2009-03, Vol.22 (1), p.25-27
Main Author: Dim, Cyril C.
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Emergency Service, Hospital
Female
Home birth
Home Childbirth - adverse effects
Humans
Infant, Newborn
Labor Stage, Third
Nigeria
Nursing
Pregnancy
Third stage of labour
Traditional birth attendants
Uterine inversion
Uterine Inversion - etiology
Uterine Inversion - surgery
Vaginal birth
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Summary:A case study of Ms. TE a 38-year-old Para7 +0 with seven living children is presented. Ms. TE had no antenatal care and was rushed to hospital with features of acute incomplete uterine inversion, 90 min after a spontaneous vaginal birth at home. The birth was supported by the second wife of her husband who had no experience in birth attendance. Her third stage of labour was not managed actively. Successful repositioning of the uterus was achieved under anaesthesia in the hospital. Uninformed mismanagement of third stage of labour was probably the reason for the condition of Ms. TE. Though acute uterine inversion is rare, accessible primary health care services are necessary for safe motherhood and for supporting women to birth safely.
ISSN:1871-5192
1878-1799
DOI:10.1016/j.wombi.2008.09.006