Baskett Thomas F
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax NS.
J Obstet Gynaecol Can. 2002 Dec;24(12):953-6. doi: 10.1016/s1701-2163(16)30594-1.
To determine the incidence, complications, and risk of recurrence of acute uterine inversion.
A retrospective chart review was conducted of all cases of acute uterine inversion recorded at the Grace Maternity Hospital in Halifax, Nova Scotia, from 1977 to 2000.
During the 24-year period studied, 40 cases of acute uterine inversion occurred following 125,081 births. The incidence of acute uterine inversion following vaginal birth was 1 in 3737, and following Caesarean section, 1 in 1860. Post-partum hemorrhage complicated 65% of cases of acute uterine inversion, and 47.5% required blood transfusion. There was no recurrence in 26 subsequent deliveries. Following the institution of active management of the third stage of labour in 1988, the incidence of acute uterine inversion following vaginal delivery fell 4.4-fold.
Acute uterine inversion is rare but accompanied by high risk of postpartum hemorrhage and the need for blood transfusion. Active management of the third stage of labour may reduce the incidence of uterine inversion.
确定急性子宫内翻的发生率、并发症及复发风险。
对1977年至2000年在新斯科舍省哈利法克斯市格蕾丝妇产医院记录的所有急性子宫内翻病例进行回顾性病历审查。
在研究的24年期间，125081例分娩后发生了40例急性子宫内翻。阴道分娩后急性子宫内翻的发生率为1/3737，剖宫产术后为1/1860。产后出血使65%的急性子宫内翻病例复杂化，47.5%的病例需要输血。在随后的26次分娩中无复发情况。1988年实施积极的第三产程管理后，阴道分娩后急性子宫内翻的发生率下降了4.4倍。
急性子宫内翻罕见，但伴有产后出血的高风险及输血需求。积极的第三产程管理可能降低子宫内翻的发生率。
