Risks and consequences of puerperal uterine inversion in the United States, 2004 through 2013

American Journal of Obstetrics and Gynecology
Sarah L CoadJennifer A Hutcheon

Abstract

Puerperal uterine inversion is a rare, potentially life-threatening obstetrical emergency. The current literature consists of small case series and a single nationwide study from Europe with only 15 cases. We aimed to define the incidence, temporal trends, and outcomes in women with uterine inversion using a nationally representative US cohort. We used the Nationwide Inpatient Sample, a 20% sample of US hospital admissions, to identify all deliveries from 2004 through 2013. International Classification of Diseases, Ninth Revision diagnosis codes were used to identify cases of uterine inversion and associated adverse outcomes (maternal death, blood transfusion, maternal shock, need for surgical correction, and length of hospital stay). The incidence of uterine inversion overall and for each year of the study period was calculated with 95% confidence intervals. The case fatality and incidence of other adverse outcomes among women with a uterine inversion were also estimated. Among 8,294,279 deliveries in 2004 through 2013, there were 2427 cases of puerperal uterine inversion, corresponding to an incidence of 2.9 per 10,000 deliveries (95% confidence interval, 2.8-3.0). There was 1 maternal death in our cohort (4.1 per 10,000 even...Continue Reading

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Citations

Jan 15, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ali AlhousseiniOffer Erez
Sep 30, 2020·Zeitschrift für Geburtshilfe und Neonatologie·Şeyma Osmanlıoğlu
Aug 1, 2018·Obstetrical & Gynecological Survey·Michael P WendelEverett F Magann
Oct 4, 2020·BMC Women's Health·Asiphas OwaraganiseJoseph Ngonzi

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