scholarly journals A case report of uterine inversion after home delivery

2021 ◽  
Vol 4 (2) ◽  
pp. 050-054
Author(s):  
M Sena-Martins ◽  
V Tadini ◽  
BG Bolsonaro ◽  
C Mariani-Neto ◽  
ABN Pires ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Postpartum Haemorrhage ◽  
Hypovolemic Shock ◽  
Home Birth ◽  
Home Delivery ◽  
The Third ◽  
Uterine Inversion ◽  
Third Stage Of Labor ◽  
Third Stage

Puerperal acute uterine inversion is a rare obstetric condition observed as a serious complication during the third stage of labor. Reported as one of the causes of postpartum haemorrhage, it commonly requires quick diagnosis and surgical treatment in order to reduce morbidity and lethality. The authors describe a case of uterine inversion with hypovolemic shock after home birth, brought to Hospital Leonor Mendes de Barros. The purpose of this article is to describe a case of acute uterine inversion and its management and a review of aetiology, predictive and risk factors, diagnosis and treatment.

scholarly journals Prevenção e tratamento da hemorragia pós-parto

2019 ◽  
Vol 13 (1) ◽  
pp. 236
Author(s):  
Rita de Cássia de Oliveira ◽  
Rejane Marie Barbosa Davim
Keyword(s):  
Thematic Analysis ◽  
Postpartum Haemorrhage ◽  
Virtual Library ◽  
The Third ◽  
Third Stage Of Labor ◽  
Puerperal Infection ◽  
Third Stage ◽  
Uterine Massage ◽  
Controlled Cord Traction ◽  
Mortalidade Materna

ABSTRACTObjective: to identify the evidence on the prevention and treatment of postpartum haemorrhage in health care. Method: this is a descriptive and quantitative bibliographical study of the type integrative, with temporal delimitation from 2007 to 2017, with a search in the databases LILACS, MEDLINE and SciELO Virtual Library, and the results are presented in figure, analyzed by the technique of Content Analysis in the Thematic Analysis modality. Results: totaling 100 articles, which, after refinement, totaled 11 eligible for discussion with the literature. Conclusion: the correct management of the third stage of labor with the prophylaxis of postpartum haemorrhage was fundamental, based on the use of uterotonic drugs, controlled cord traction and uterine massage in place of clamping of the cord. Descriptors: Pregnant women; Pregnancy; Bleeding; Maternal Mortality; Puerperal infection; Women's Health.RESUMOObjetivo: identificar as evidências sobre a prevenção e o tratamento da hemorragia pós-parto em cuidados no campo da saúde. Método: trata-se de um estudo bibliográfico, descritivo e quantitativo, do tipo revisão integrativa, com delimitação temporal de 2007 a 2017, com busca nas bases de dados LILACS, MEDLINE e Biblioteca Virtual SciELO, e os resultados se apresentam em figura, analisados pela técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: totalizaram-se 100 artigos que, após refinamento, totalizaram 11 elegíveis para discussão com a literatura. Conclusão: evidenciou-se que é fundamental o manejo correto no terceiro estágio do trabalho de parto, com a profilaxia da hemorragia pós-parto, tendo como base o uso de drogas uterotônicas, a tração controlada de cordão e a massagem uterina em substituição ao clampeamento do cordão. Descritores: Gestantes; Gravidez; Hemorragia; Mortalidade Materna; Infecção Puerperal; Saúde da Mulher.RESUMENObjetivo: identificar las evidencias sobre la prevención y el tratamiento de la hemorragia posparto en cuidados en el campo de la salud. Método: se trata de un estudio bibliográfico, descriptivo y cuantitativo, del tipo revisión integrativa, con delimitación temporal de 2007 a 2017, con búsqueda en las bases de datos LILACS, MEDLINE y Biblioteca Virtual SciELO, y los resultados se presentan en figura, analizados por la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: se totalizaron 100 artículos que, después de refinamiento, totalizaron 11 elegibles para discusión con la literatura. Conclusión: se evidenció que es fundamental el manejo correcto en la tercera etapa del trabajo de parto, con la profilaxis de la hemorragia posparto, teniendo como base el uso de drogas uterotónicas, la tracción controlada de cordón y el masaje uterino en sustitución al clampeamiento del cordón. Descriptores: Mujeres Embarazzadas; Embarazzo; Hemorrragia; Infección Puerperal; Salud de la Mujer.

388: Normal distribution of the length of the third stage of labor and risk factors for its prolongation

2015 ◽  
Vol 212 (1) ◽  
pp. S202-S203
Author(s):  
Shiri Shinar ◽  
Michael Shenhav ◽  
Sharon Maslovitz ◽  
Ariel Many
Keyword(s):  
Risk Factors ◽  
Normal Distribution ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage

scholarly journals Risk Factors for Hemorrhage in The Third Stage of Labor: A Systematic Review Protocol

2021 ◽  
Author(s):  
Maria de Lourdes de Souza ◽  
Adalia Edna Fernando Chipindo ◽  
Eneida Patrícia Teixeira ◽  
Anna Carolina Raduenz Huf Souza ◽  
Rita de Cássia Teixeira Rangel ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Maternal Death ◽  
Meta Analysis ◽  
Research Question ◽  
Eligibility Criteria ◽  
Assessment Development ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage

Abstract BackgroundPostpartum hemorrhage (PPH) is the most common form of obstetric hemorrhage. This is the main cause of maternal death around the world: the incidence varies among countries and accounts for 27% (in some countries, more than 50%) of direct obstetric maternal deaths, mainly in the postpartum period. Recognizing risk factors for PPH in prenatal care and during childbirth care is the first stage to prevent maternal death from PPH. The objective this review is: To identify the risk factors for hemorrhage in the third stage of labor described in the literature from 2000 to 2020. MethodsA protocol for a Systematic Review and Meta-analysis study was developed, supported by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and, registered in the International Prospective Register of Systematic Reviews (PROSPERO). The research question for conducting the review was structured according to the PEOS strategy (P — Populations/People/Patient/ Problem, E — Exposure (s), O — Outcome, S — Study design): P — women aged from 10 to 49 years, in labor; E — risk factors for hemorrhage in the third stage of labor; O — women with hemorrhage during birth and postpartum; S — observational studies (case control and cohort). Thus, the defined question was: what are the risk factors for hemorrhage in the third stage of labor described in the literature from 2000 to 2020? As for the planning of electronic searches, databases were consulted by using the platform of the Coordination for the Improvement of Higher Education Personnel in Brazil (CAPES, as per its Portuguese acronym). Due to the characteristics of each database, specific search strategies were chosen for each database. After applying the eligibility criteria, the articles that are selected will have the quality of the evidence evaluated by applying the Grading of Recommendations, Assessment, Development and Evaluation (GRADE), with the online tool GRADEpro GDT.Discussion Prevention and control of hemorrhage must be initiated in the prenatal period, requiring competent professionals to carry out the appropriate clinical evaluation to classify the degree of risk to which the woman is exposed. This systematic review will support the studies of professionals who working in Angola and Brazil.Systematic review registrationPROSPERO available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021219303

scholarly journals More Than Clinical Waste? Placenta Rituals Among Australian Home-Birthing Women

2014 ◽  
Vol 23 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Emily Burns
Keyword(s):  
Human Placenta ◽  
Home Birth ◽  
Frames Of Reference ◽  
Discursive Construction ◽  
Home Births ◽  
The Third ◽  
Childbirth Experience ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Depth Interviews

The discursive construction of the human placenta varies greatly between hospital and home-birthing contexts. The former, driven by medicolegal discourse, defines the placenta as clinical waste. Within this framework, the placenta is as much of an afterthought as it is considered the “afterbirth.” In home-birth practices, the placenta is constructed as a “special” and meaningful element of the childbirth experience. I demonstrate this using 51 in-depth interviews with women who were pregnant and planning home births in Australia or had recently had home births in Australia. Analysis of these interviews indicates that the discursive shift taking place in home-birth practices from the medicalized model translates into a richer understanding and appreciation of the placenta as a spiritual component of the childbirth experience. The practices discussed in this article include the burial of the placenta beneath a specifically chosen plant, consuming the placenta, and having a lotus birth, which refers to not cutting the umbilical cord after the birth of the child but allowing it to dry naturally and break of its own accord. By shifting focus away from the medicalized frames of reference in relation to the third stage of labor, the home-birthing women in this study have used the placenta in various rituals and ceremonies to spiritualize an aspect of birth that is usually overlooked.

Analytical Study of Complications of Third Stage of Labour in a Tertiary Care Centre in Bhopal, Madhya Pradesh - An Observational Prospective Study

2021 ◽  
Vol 8 (32) ◽  
pp. 2923-2927
Author(s):  
Geetika Thakur ◽  
Aruna Kumar ◽  
Deepti Gupta
Keyword(s):  
Postpartum Haemorrhage ◽  
Tertiary Care ◽  
Case Fatality ◽  
Tertiary Care Centre ◽  
The Third ◽  
Uterine Inversion ◽  
Study Results ◽  
Third Stage ◽  
Gandhi Medical College ◽  
Associated Risk Factors

BACKGROUND The third stage of labour starts when the fetus has completely delivered and ends with the complete expulsion of the placenta. The third stage of labour is usually uneventful, although significant complications can occur in this period, the most common is postpartum haemorrhage (PPH). The purpose of this study was to identify the various third stage complications, their incidence, and associated risk factors in patients admitted to the centre. METHODS This is a prospective observational study performed in the Department of Obstetrics and Gynaecology, Gandhi Medical College and Sultania Zanana Hospital (SZH), Bhopal conducted from 1 st October 2010 to 30th September 2011. All patients who delivered in our centre or outside and developed a third stage complication were included in the study. RESULTS There were a total of 10,277 deliveries during the study period and 171 cases of third stage complications. The incidence of third stage complication was 1.66 %. The most common third stage complication was traumatic PPH (52.1 %) and the least common was inversion of uterus (2 %) but the case fatality rate (20 %) was higher in the latter. The incidence of traumatic PPH was highest among the primipara patients (72.9 %) and in the grand multipara, atonic PPH topped the list occurring in 57.8 % of the patients. CONCLUSIONS As third stage complications occur in approximately 1 in 60 deliveries and cause 19.3 % of the total maternal deaths, it is of utmost importance to outline an effective treatment for the management of postpartum haemorrhage. This could further help in reducing maternal mortality significantly. KEYWORDS Third Stage of Labour, Atonic Postpartum Haemorrhage, Traumatic Postpartum Haemorrhage, Retained Placenta, Uterine Inversion, Peripartum Hysterectomy

Sign in / Sign up

Export Citation Format

Share Document