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Uterine inversion is when the uterus turns inside out, usually following childbirth. [1] Symptoms include postpartum bleeding , abdominal pain, a mass in the vagina, and low blood pressure . [ 1 ] Rarely inversion may occur not in association with pregnancy .
These periods are divided into three stages. The first stage occurs in the first 30 minutes of life; during this stage the infant is alert and responsive with heart rate peaking at 160-180 beats per minute and then stabilizes to a baseline rate of 100-120 beats per minute. Crackles upon auscultation and irregular respirations are a normal finding.
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If the heart is swapped to the right side of the thorax, it is known as "situs inversus with dextrocardia" or "situs inversus totalis". If the heart remains on the normal left side of the thorax, a much rarer condition (1 in 2,000,000 of the general population), it is known as "situs inversus with levocardia" or "situs inversus incompletus".
It is characterized by changes in fetal movement, growth, heart rate, and presence of meconium stained fluid. [ 4 ] Risk factors for fetal distress/non-reassuring fetal status include anemia , restriction of fetal growth , maternal hypertension or cardiovascular disease, low amniotic fluid or meconium in the amniotic fluid, or a post-term ...
Symptoms usually include one or more of the following: orthopnea (difficulty breathing while lying flat), dyspnea (shortness of breath) on exertion, pitting edema (swelling), cough, frequent night-time urination, excessive weight gain during the last month of pregnancy (1-2+ kg/week; two to four or more pounds per week), palpitations (sensation of racing heart-rate, skipping beats, long pauses ...
Once uncontrolled bleeding occurs, management can be manual (fundal massage from the outside, packing the uterus, tamponading bleeding from the inside with balloon or condom catheter), and pharmacological (with oxytocin, ergotamine, misoprostol). Alongside these treatments, shock should be addressed with IV fluids or blood transfusions as ...
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