>Hi Niki and all

>The rationale your were given for the inverted uterus is not accurate. I 
>think the intern should get her/his books out and do a little bit of 
>reading.  I dunno we have the Prime Minister telling us all off for not 
>having enough children and here we have a medico blaming the woman for 
>having too many!!!  In nearly every case an inverted uterus (postpartum) 
>occurs because someone tries to deliver the placenta before it separates 
>from the uterine wall. The person keeps pulling on the cord and eventually 
>the cord, placenta and uterus all come out together.  Sometimes the 
>placenta can't separate (placenta accreta, percreta or increta) and only 
>surgery can 'fix' the problem.  Women who have had previous caesareans are 
>more prone to these conditions cause of the uterine scarring. Very rarely 
>it 'just happens'. It may occur in repeated births. It's a real pity that 
>a beautiful birth wasn't quite so beaut at the end. If you need more info 
>e-mail me privately or come and have a chat. Inverted uteruses are rare 
>and so you have in all likelihood seen your first and last. I just wish 
>you'd not seen it -  ever.
Carol


Carol Thorogood

Visiting Midwifery Scholar
School of Nursing and Midwifery
Flinders University, Adelaide, 5001

Telephone: 08 8201 3924
Fax:           08 8201 3410


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