Uterine Inversion During Postpartum Seizure: A Challenging Obstetric Emergency and the Possible Association with Epilepsy – A Case Report

Background: Timely diagnosis of uterine inversion is crucial for achieving maternal outcomes. This article presents the case of a 26-year-old postpartum woman with a history of epilepsy, who was diagnosed with uterine inversion during a seizure.
Case Presentation: A 26-year-old woman, gravida 3 with a history of two prior vaginal deliveries, presented at 38 weeks of gestation with contractions. She delivered a viable male infant vaginally, but experienced postpartum complications, including an epileptic seizure, uterine atony, and uterine inversion. Postpartum hemorrhage ensued, requiring blood transfusion, surgical intervention, and subsequent admission to the intensive care unit. Hemostasis was successfully achieved through ligation of the ascending branches of both uterine arteries and the placement of a Bakri balloon.
Conclusion: Uterine inversion is a life-threatening obstetric emergency that, if not promptly recognized and managed, can lead to severe hemorrhage, shock and maternal mortality. This case highlights the association between epilepsy and severe postpartum hemorrhage, emphasizing the need for vigilance in managing postpartum complications in epileptic patients.

Keywords: Uterine inversion, Postpartum hemorrhage, Epilepsy, Seizure.