Datta Arijit, Galoria Darshan, Sinha Sweta, Pan Arpan Kumar
Department of Forensic Medicine, Pramukhswami Medical College & Sri Krishna Hospital, Bhaikaka University, Karamsad, Anand, Gujarat, India.
Department of Obstetrics & Gynaecology, Pramukhswami Medical College & Sri Krishna Hospital, Bhaikaka University, Karamsad, Anand, Gujarat, India.
Forensic Sci Med Pathol. 2025 Jun;21(2):844-852. doi: 10.1007/s12024-024-00933-1. Epub 2025 Jan 2.
Uterine inversion refers to the condition where the fundus is turned inside and positioned within the uterine cavity. Uterine inversion is a life-threatening and uncommon obstetric emergency that can be fatal because of postpartum hemorrhage and shock. Acute uterine inversion is the most common type, which occurs within 24 h of delivery and is usually associated with untrained birth attendants and a lack of knowledge of labor-inducing drugs. We present a case of alleged medical negligence in the death of a 23-year-old female following vaginal delivery of a second child with autopsy findings suggestive of uterine inversion. The primary cause of death in this patient was postpartum hemorrhage and shock resulting from acute uterine inversion. This case underscores the importance of postmortem examinations in determining responsibility in legal proceedings.
子宫内翻是指子宫底部向内翻转并位于子宫腔内的情况。子宫内翻是一种危及生命且罕见的产科急症,可能因产后出血和休克而致命。急性子宫内翻是最常见的类型,发生在分娩后24小时内,通常与未经培训的助产人员以及对引产药物缺乏了解有关。我们报告一例23岁女性在第二次阴道分娩后死亡的涉嫌医疗过失案件,尸检结果提示存在子宫内翻。该患者的主要死因是急性子宫内翻导致的产后出血和休克。该病例强调了尸检在法律程序中确定责任的重要性。