2015
DOI: 10.1089/gyn.2014.0094
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Management of Acute and Subacute Puerperal Uterine Inversion with Intravenous Nitroglycerin

Abstract: Background: Uterine inversion is an unpredictable entity, with more than one-half of cases reported without detectible precipitants. Hemorrhage can be rapid and life-threatening, requiring prompt recognition and aggressive management. Cases: Case 1: A 25-year-old female, para 1, with complete uterine inversion presented as a case of postpartum hemorrhage and this was managed successfully with intravenous (IV) nitroglycerine. Case 2: A second case involved partial uterine inversion, in a 22-year-old female, par… Show more

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“…In the literature there is much evidence about the effectiveness of tocolytic drugs used during inversion of the uterus. Betamimetics (terbutaline 0.1-0.25 mg IV) [19], magnesium sulfate (4-6 g IV) and the most frequently used nitroglycerine (0.25-0.5 mg IV) are considered to be most effective [20]. After repositioning of the uterus, the patient should be given uterus-shrinking drugs enabling the uterus to return to its normal shape, and antibiotics to avoid infections [21,22].…”
Section: Casementioning
confidence: 99%
“…In the literature there is much evidence about the effectiveness of tocolytic drugs used during inversion of the uterus. Betamimetics (terbutaline 0.1-0.25 mg IV) [19], magnesium sulfate (4-6 g IV) and the most frequently used nitroglycerine (0.25-0.5 mg IV) are considered to be most effective [20]. After repositioning of the uterus, the patient should be given uterus-shrinking drugs enabling the uterus to return to its normal shape, and antibiotics to avoid infections [21,22].…”
Section: Casementioning
confidence: 99%