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.

Keywords: Prevention, Ultrasound, Uterine Inversion.

How to cite this:  Abbasi TS, Kubra K, Zarrar T, Tasneem M, Gu 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