Successful Management of Subacute Uterine Inversion Using Haultain’s Method

Introduction:

• Uterine inversion, though rare, is a critical obstetric emergency that can lead to severe hemorrhage and shock if not diagnosed and managed quickly. In this case report, we discuss the management of subacute uterine inversion using Haultain’s method, which was successfully applied to a postpartum patient presenting with significant hemorrhage and abdominal pain. [Visit https://www.obstetricgynecoljournal.com/ for more groundbreaking research in this field.

Main Content Sections:

• Background:
  Uterine inversion is a life-threatening complication that occurs when the uterus turns inside out during or after delivery. The condition can lead to significant blood loss and hypovolemic shock if not immediately treated. Although the incidence is rare, the management of uterine inversion is critical for preventing fatal outcomes.
• Case Description:
  A 24-year-old woman was referred to Dumai General Hospital with vaginal bleeding and abdominal pain post-delivery. Upon examination, a soft mass was detected in the vagina, and ultrasound confirmed uterine inversion. The patient underwent fluid resuscitation and blood transfusion. After achieving stabilization, Haultain’s method was used for uterine repositioning, which was successful.
• Clinical Management:
  Initial stabilization with fluid resuscitation and blood transfusion was crucial. The patient was then subjected to laparotomy, where Haultain’s method was applied to reposition the inverted uterus. The procedure was successful, and the patient did not experience further hemorrhage.
• Discussion:
  Uterine inversion is often associated with risk factors such as tension on the umbilical cord, fetal macrosomia, and excessive fundal pressure. Diagnosis is typically clinical, and treatment involves immediate stabilization followed by uterine repositioning. This case highlights the effectiveness of Haultain’s method, which is underused in modern practice.
• Conclusion:
  Prompt diagnosis and intervention are vital in the management of uterine inversion. Haultain’s method, although less commonly used today, provides a reliable solution for repositioning the uterus and preventing life-threatening complications.

Integration of External Medical Sources:
The American College of Obstetrics and Gynecology (ACOG) emphasizes the importance of timely intervention in cases of uterine inversion to avoid severe maternal morbidity. Learn more about obstetric emergencies at ACOG’s official website.

Further Reading and Resources

• Read the full study at https://doi.org/10.29328/journal.cjog.1001138.
• Internal Links: Explore more related articles on Obstetric Emergencies.
• Homepage Link: For further insights into groundbreaking research, visit https://www.obstetricgynecoljournal.com/.
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