UTERINE DISPLACEMENT

The most common position of the uterus is:

• Retroverted

• Anteverted

• Retroflexed

• Anteflexed

Uterine retroversion means

• Uterus bends forward

• Uterus tilts backward toward sacrum

• Uterus is enlarged

• Uterus rotates on its axis

Best investigation to confirm retroverted uterus

• X-ray pelvis

• MRI pelvis

• Ultrasound pelvis

• CT scan

Uterine inversion commonly occurs:

• During pregnancy

• During third stage of labour

• In postmenopausal women

• After menopause

Typical clinical sign of uterine inversion:

• Normal fundal height

• Severe postpartum hemorrhage and shock

• Abdominal pain without bleeding

• Uterus palpable abdominally

First step in management of acute uterine inversion:

• Immediate hysterectomy

• Johnson’s maneuver

• Uterotonic drugs

• Wait and watch

Surgical procedure done when manual reduction fails

• Cesarean section

• Haultain’s procedure

• Tubectomy

• Myomectomy

Retroversion is always pathological

• True

• False