Prolapsed Uterus question

[fireflymedic]

Recently while teaching a class and covering OB using the brady book during discussion for a prolapsed uterus following childbirth they instructed and I'm not kidding advocating the basic "push it back in place using the fist" and to leave it there until arriving at the hospital. Now I don't know about you guys, but one I have NEVER heard of this practice and it was concerning to me as we teach students, especially basics to never place anything in the vagina (with the exception of a V to help create an airway if needed for the baby). I've previously taught with other books and in my experience not had this issue, but if so, treat as an exposed organ. Don't push it back in due to risk of increasing infection, cover with moist sterile dressing, and leave it alone ! Anybody else have some input on this?

[Kaisu]

a woman with a prolapsed uterus after childbirth will bleed to death... we were taught in paramedic school to push it back in.....

[p3medic]

agreed...push it back in.

[jwraider]

Yep only thing that gors back in.

[firedoc5]

I have heard both. But during my Paramedic class Dr. Wiley instructed to attempt to push it back in. Be as sterile as possible as you do it though.

[logos]

That's exactly what the obstetrician would be doing.

[scubanurse]

Just curious since this was not covered much in medic class and I haven't gotten to OB yet in nursing.... what are the typical causes of this/would you know right away?

[logos]

Just curious since this was not covered much in medic class and I haven't gotten to OB yet in nursing.... what are the typical causes of this/would you know right away?

Although there are various degrees, you probably won't miss it. Uterine Inversion

It also hurts, which might cause the patient to get your attention.

[Eydawn]

Wow. That is an image that will NEVER leave my brain. Duly noted... if I can see that, it goes BACK INSIDE!

Wendy

CO EMT-B

[scubanurse]

yeahhh I agree with Wendy... not an image i really wanted to see but at least now I kinda have an idea!

Note to self: never go into OB/GYN!!