Management of uterine inversion

1. The inverted uterus should be immediately reposi-tioned vaginally. Blood and/or fluids should be administered. If the placenta is still attached, it should not be removed until the uterus has been repositioned.

2. Uterine relaxation can be achieved with a halogenated anesthetic agent. Terbutaline is also useful for relaxing the uterus.

3. Following successful uterine repositioning and placental separation, oxytocin (Pitocin) is given to contract the uterus.

References: See page 184.

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