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Obstetrics & Gynecology 1984;63:263-264
© 1984 by The American College of Obstetricians and Gynecologists
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Recurrent inversion of the puerperal uterus managed with 15(s)-15-methyl prostaglandin F2{alpha} and uterine packing

Peter S. Heyl, MD, Phillip G. Stubblefield, MD and Mark Phillippe, MD

From the Department of Obstetrics and Gynecology, Harvard Medical School, The Brigham and Women's Hospital, and the Massachusetts General Hospital, Boston, Massachusetts

Abstract

The present report describes an unusual case of recurrent puerperal uterine inversion causing major postpartum hemorrhage. Blood replacement, oxytocin, and ergot therapy along with manual reduction failed to prevent immediate recurrence, but treatment with 15(S)-15-methyl prostaglandin F2{alpha} (Prostin 15M) and uterine packing were successful. It is recommended that 15(S)-15-methyl prostaglandin F2{alpha} be available in all obstetric suites for the management of similar emergencies.






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Copyright © 1984 by the American College of Obstetricians and Gynecologists.