Acute uterine inversion in a rural African woman: A rare consequence of child birth

Summary 

A case study of Ms. TE a 38-year-old Para7⁺⁰ with seven living children is presented. Ms. TE had no antenatal care and was rushed to hospital with features of acute incomplete uterine inversion, 90min after a spontaneous vaginal birth at home. The birth was supported by the second wife of her husband who had no experience in birth attendance. Her third stage of labour was not managed actively. Successful repositioning of the uterus was achieved under anaesthesia in the hospital.

Uninformed mismanagement of third stage of labour was probably the reason for the condition of Ms. TE. Though acute uterine inversion is rare, accessible primary health care services are necessary for safe motherhood and for supporting women to birth safely.

Keywords: Third stage of labour, Vaginal birth, Uterine inversion, Traditional birth attendants, Home birth