Objective.The aim of this study was to describe critical care for obstetrical hemorrhage, especially in cases of uterine inversion. Study\nDesign. We extracted data for six patients diagnosed with uterine inversion concerning resuscitation. Results.The shock index on\nadmission of the six patients was 1.6 or more on admission. Four of the six experienced delay in diagnosis and received inadequate\nfluid replacement. Five of the six experienced delay in transfer. Five of the six underwent simultaneous blood transfusion on\nadmission, and the remaining patient experienced a delay of 30 minutes. All six patients successfully underwent uterine replacement\nsoon after admission. One maternal death occurred due to inappropriate practices that included delay in diagnosis, delay in\ntransfer, inadequate fluid replacement, and delayed transfusion. Two patients experiencing inappropriate practices involving delay\nin diagnosis, delay in transfer, and inadequate fluid replacement survived. Conclusion. If a delay in diagnosis occurs simultaneously\nwith a delay in transfer and inadequate fluid replacement, failure in providing a prompt blood transfusionmay be critical and result\nin maternal death.The monitoring of resuscitation with blood transfusion for uterine inversion is essential for the improvement of\nobstetrical care.
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