Rachagan S P, Sivanesaratnam V, Kok K P, Raman S
Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Aust N Z J Obstet Gynaecol. 1988 Feb;28(1):29-32. doi: 10.1111/j.1479-828x.1988.tb01606.x.
Over a 17-year period, 15 patients with acute puerperal inversion of the uterus were managed at the University Hospital, Kuala Lumpur, an incidence of 1 in 4,836 deliveries. Injudicious traction on the umbilical cord before the uterus was well contracted, was probably the most important causative factor. Haemorrhage was more severe when removal of the placenta was done prior to correction of the inversion. Either the hydrostatic method or manual replacement were used but more often a combination of both techniques was found necessary. With careful management of the third stage of labour, this complication can be avoided.
在17年期间，吉隆坡大学医院收治了15例急性产后子宫内翻患者，发病率为每4836例分娩中有1例。子宫尚未良好收缩前对脐带进行不当牵拉可能是最重要的致病因素。在矫正子宫内翻之前取出胎盘时，出血会更严重。采用了水压法或手法复位，不过更多时候发现有必要将两种技术结合使用。通过对产程第三阶段进行仔细管理，可避免这一并发症。
