Prevention of Uterine Inversion by Using Ultrasonographic Confirmation During Placental Delivery in Dr. Ruth K.M Pfau Civil Hospital Karachi

Tahmina Shahid Abbasi; Kaneez Kubra; Tabassum Zarrar; Maria Tasneem; Pashmina Gul

doi:10.37185/LnS.1.1.563

Tahmina Shahid Abbasi Civil Hospital Karachi, Karachi, Pakistan
Kaneez Kubra Jinnah Postgraduate Medical Center Karachi, Pakistan
Tabassum Zarrar Civil Hospital Karachi, Karachi, Pakistan
Maria Tasneem Niazi Welfare Foundation Teaching Hospital, Lahore, Pakistan
Pashmina Gul Civil Hospital Karachi, Pakistan

DOI: https://doi.org/10.37185/LnS.1.1.563

Keywords: Prevention, Ultrasound, Uterine Inversion

Abstract

Objective: To determine the prevention of uterine inversion by using ultrasonographic confirmation during
placental delivery.
Study Design: Cross-sectional study.
Place and Duration of Study: The study was carried out at the Department of Gynecology Unit II, Dr. Ruth K.M
Pfau Civil Hospital Karachi, Pakistan from June 2022 to June 2023.
Methods: In this research, the total of 180 patients were included with transvaginal deliveries. To prevent
uterine inversion during placental delivery, regular ultrasonographic was implemented. The placental delivery
was performed with ultrasonographic confirmed placental detachment. The frequency of uterine inversion
during placental delivery was compared before and after the introduction of ultrasonographic images. In
addition, a comparison was made between the ultrasonographic group and the non-ultrasonographic group
regarding the amount of blood loss during transvaginal delivery and the length of the third stage of labor. The
Descriptive statistics were applied to all parameters Using SPSS Version 26.
Results: A total of 180 patients who had transvaginal deliveries, mean age 29 ± 9 years. One hundred and eighty women had transvaginal deliveries before and after the introduction of ultrasonography. Following the
ultrasonographic confirmation, there was a significant decrease in the frequency of uterine inversion when
compared to the pre-introduction period (43.3% vs. 56.7%, p = 0.001). Due to a number of limitations, the
actual rate of ultrasonography performed even after it was introduced ultrasonography was 46.1%.
Conclusion: In our investigation, we concluded that with the help of ultrasonographic confirmation of placental
detachment uterine inversion may be prevented.

How to cite this: Abbasi TS, Kubra K, Zarrar T, Tasneem M, Gul P. Prevention of Uterine Inversion by Using Ultrasonographic Confirmation During Placental Delivery in Dr. Ruth K.M Pfau Civil Hospital Karachi. Life and Science. 2024; 5(2): 204-209. doi: http://doi.org/10.37185/LnS.1.1.563