What is the cause of uterine varus?

summary

Uterine varus is a kind of delivery complications, mainly for the bottom of the uterus into the uterine cavity, or even from the cervix. Clinically, according to the time of maternal occurrence, it can be divided into acute (within 24 hours after delivery), subchronic (within 24 hours to 4 weeks after delivery), chronic uterine varus (after 4 weeks of delivery or non delivery women). Others are divided into three degrees according to the degree of varus. At one time, the uterus was incomplete; The second degree is complete varus, and the fundus of uterus is located in the vagina; The third degree is complete inversion of uterus, and the fundus of uterus turns out to the outside of vagina. So what's the cause of varus?

What is the cause of uterine varus?

The influence of labor process. During midwifery, it is caused by pulling the placental cord attached to the bottom of uterus. The umbilical cord is easy to break from the placenta under the action of strong pulling, and the uterus is prone to varus under the condition of uterine relaxation. If the umbilical cord of the fetus is relatively short or entangled, excessive traction of the umbilical cord during delivery will also cause the uterus varus.

Maternal physical factors. Some parturient due to uterine dysplasia or maternal deficiency, in the process of labor due to coughing and other body excited too much, forced breath holding, abdominal pressure rise, resulting in uterine varus. Some pregnant women with hypertension, in the use of magnesium sulfate, can also cause uterine relaxation and uterine varus.

The uterine wall is weak. Part of the maternal uterine wall is relatively weak, especially at the bottom of the uterus, poor resistance to uterine cavity. In addition, pathological factors, such as uterine tumor, can destroy the surrounding uterine smooth muscle by invasion or compression, and the uterine varus occurs under the effect of tumor enlargement on the muscle wall.

matters needing attention

Uterine varus need timely rescue treatment, usually through manual reduction or surgical reduction method, with drug treatment shock, so it is recommended that expectant mothers as far as possible to obstetrics and gynecology hospital or obstetrics delivery, reduce the occurrence of accidents. After the diagnosis of uterine varus, emergency treatment should be given to the puerpera immediately. First of all, anti shock, blood transfusion and infusion treatment should be carried out. If necessary, we can use pressor drugs, sedation and pain relief. When the condition is improved, we can still accept surgical treatment.