Puerperal uterine inversion in the Netherlands: a nationwide cohort study

T. Witteveen, G. van Stralen, J. Zwart, J. van Roosmalen

    Research output: Contribution to JournalArticleAcademicpeer-review


    Puerperal uterine inversion is a severe but rare obstetric complication of yet unknown origin. In this two-year study we determine the incidence of this complication and we describe associated risk factors to expose its etiology. All cases of uterine inversion were included from a nationwide cohort study which contained all 98 hospitals with a maternity unit in the Netherlands. We reviewed the medical records of 15 patients, resulting an incidence of approximately 1 in 20 000 vaginal births. Fourteen cases (93.3%) were classified as low-risk pregnancies at booking. Nulliparous women were not overrepresented and the main associated factors were signs of prolonged labor followed by third stage manipulation. This study is the first population-based study for uterine inversion. With the reported associated factors and occurrence in women with a low-risk profile, we show that every birth attendant should be able to detect this rare but severe complication. © 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
    Original languageEnglish
    Pages (from-to)334-337
    JournalActa Obstetricia et Gynecologica Scandinavica
    Issue number3
    Publication statusPublished - 2013


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