Uterine inversion management includes which action?

Uterine inversion management includes which action?

• A. Keep the patient recumbent.
• B. Start two IV lines with normal saline.
• C. Do not attempt to remove the placenta if it is still attached.
• D. Consider oxytocin to control hemorrhage.

Answer: (A)

When uterine inversion occurs, the immediate goal is to stabilize the patient and restore the uterus to its normal position. Keeping the patient recumbent makes the reduction maneuver easier and safer. A flat position helps the clinician apply controlled upward pressure through the vagina to guide the inverted uterus back through the cervix, while also supporting stable blood flow and reducing the risk of further hemorrhage during the manipulation. While securing IV access and fluids and planning subsequent uterotonic therapy are essential parts of overall management, lying flat is the practical first posture that facilitates the immediate reduction of the inversion.

When uterine inversion occurs, the immediate goal is to stabilize the patient and restore the uterus to its normal position. Keeping the patient recumbent makes the reduction maneuver easier and safer. A flat position helps the clinician apply controlled upward pressure through the vagina to guide the inverted uterus back through the cervix, while also supporting stable blood flow and reducing the risk of further hemorrhage during the manipulation. While securing IV access and fluids and planning subsequent uterotonic therapy are essential parts of overall management, lying flat is the practical first posture that facilitates the immediate reduction of the inversion.