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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 .
This mom experienced an inverted uterus during childbirth, which is when the uterus folds in on itself.
Also, the uterus may develop a uterine sacculation, that is a part of its back wall softens like an aneurysm and allows expansion of the fetus into the abdomen with a risk of uterine rupture. [3] Further, urinary complications may develop such as cystitis , and bladder distention could eventually lead to rupture of the bladder .
After birth, the fundus contracts downward into the pelvis one centimeter each day. After two weeks the uterus will have contracted and return into the pelvis. [9] The sensation and strength of postpartum uterine contractions can be stronger in women who have previously delivered a child or children. [10]
Uterine prolapse is a form of pelvic organ prolapse in which the uterus and a portion of the upper vagina protrude into the vaginal canal and, in severe cases, through the opening of the vagina. [4] It is most often caused by injury or damage to structures that hold the uterus in place within the pelvic cavity. [ 2 ]
Treatments for mild uterine prolapse include “observation, pelvic floor physical therapy” or using a pessary, a flexible device that goes into the vagina to push up the uterus, explains Eilber.
A retroverted uterus (tilted uterus, tipped uterus) is a uterus that is oriented posteriorly, towards the rectum in the back of the body. This is in contrast to the typical uterus, which is oriented forward (slightly " anteverted ") toward the bladder , with the anterior part slightly concave.
The uterine height is greater than the normal for the particular day of puerperium. Normal puerperal uterus may be displaced by a full bladder or a loaded rectum. It feels boggy and softer upon palpation. The presence of features responsible for subinvolution may be evident.