What is uterine inversion?

What is uterine inversion?

INTRODUCTION Uterine inversion occurs when the uterine fundus collapses into the endometrial cavity, turning the uterus partially or completely inside out. It is a rare complication of vaginal or cesarean delivery, but when it occurs, it is a life-threatening obstetric emergency.

What causes uterus inversion?

Causes. The most common cause is the mismanagement of 3rd stage of labor, such as: Fundal pressure. Excess cord traction during the 3rd stage of labor.

How is uterine inversion treated?

Uterine inversion means the placenta fails to detach from the uterine wall, and pulls the uterus inside-out as it exits. Treatment options depend on the severity, but could include reinserting the uterus by hand, abdominal surgery or emergency hysterectomy.

What are the primary presenting signs of uterine inversion?

Acute Uterine Inversion typically presents with postpartum hemorrhage, shock, abdominal pain, a non-palpable uterine fundus, and a mass on bimanual exam.

Can you get pregnant after a uterine inversion?

Puerperal inversion of the uterus is itself a rare occurrence. Records of fertility and reproduction following an episode of uterine inversion are even rarer. The reproductive outcome following correction of uterine inversion in 6 cases seen over a span of 35 years is being reported here.

Can inverted uterus get pregnant?

Absolutely! The position of your uterus is not related to your fertility, and a retroverted uterus alone will not affect your ability to get pregnant. The goal of the sperm reaching the uterus and the fallopian tubes is dependent on sperm quality and cervical and tubal integrity, not the tilt of the uterus.

How many degrees of uterine inversion are there?

Uterine inversion can be classified in four degrees, depending on the localization of the uterine fundus. In the 1st degree, the fundus is inside the cavity. If it reaches but does not exceed the cervical external os, it is a 2nd degree inversion.

Can you have a baby after a uterine inversion?

What is an inverted birth?

You probably have never heard of uterine inversion, and that’s a good thing: Uterine inversion is a rare complication of childbirth that occurs when part of the uterine wall collapses and turns inside out (in effect, like a sock being pulled inside out), sometimes even protruding through the cervix and into the vagina.

Can an inverted uterus cause infertility?

Does having a tilted uterus make it more difficult to conceive? Answer From Yvonne Butler Tobah, M.D. A tilted uterus, also called a tipped uterus, retroverted uterus or retroflexed uterus, is a normal anatomical variation. It shouldn’t interfere with your ability to conceive.

What is an uterine inversion?

Uterine inversion is a potentially life-threatening complication of childbirth. Normally, the placenta detaches from the uterus and exits the vagina around half an hour after the baby is delivered. Uterine inversion means the placenta remains attached, and its exit pulls the uterus inside-out.

What is inversion of the uterus?

A condition that may occur during the third stage of labor in which a relaxed uterus is turned inside out, causing the internal surface to protrude into the vagina. Uterine inversion most commonly is caused by traction on an umbilical cord attached to a yet-adherent placenta or to application of forceful fundal pressure to empty the uterus.

What is the CPT code for uterine inversion?

A uterine inversion is definitely not considered normal or uncomplicated. Unfortunately, you will have to code the manual replacement of the uterus as 59899 (unlisted procedure, maternity care and delivery). CPT 2000 does not have a specific code to describe this service.