This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Complication of 3rd Stage of Labour, Subject name: Gynaecology & Obstetrics
Reason for shock in uterine inversion - 
Select and explain. 
A. Hypovolemic shock, B. Cardiogenic shock, C. Septic shock, D. Neurogenic shock
D: Neurogenic shock
Answer: D: Neurogenic shock 
Explanation: Ans. is 'd' i.e., Neurogenic shock Uterine inversiono It is an extremely rare but a life-threatening complication in third stage in which the uterus is turned inside out partially or completely. The incidence is about 1 in 20,000 deliveries. The obstetric inversion is almost always an acute one and usually complete.o Shock in patients with uterine inversion is neurogenic and occurs due to the following:# Tension on nerves due to stretch on neurovascular bundles# Pressure on ovaries as they are dragged# Peritoneal irritation