The uterine inversion risk is increased due to which of the following actions during labor?

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Uterine inversion is a rare but serious complication that can occur during labor, characterized by the uterus turning inside out. The act of applying fundal pressure during labor can significantly increase the risk of uterine inversion. This is because fundal pressure involves pushing on the top of the uterus to assist with the descent of the fetus. If too much pressure is applied, especially in a case where the uterus is already at risk (such as in a multiparous woman or after a prolonged labor), it can provoke an inversion.

Strong uterine contractions are a normal part of labor and typically facilitate the delivery process rather than contribute to inversion. While pain management techniques and minimizing movement during contractions are also relevant to the labor experience, these factors do not substantially influence the risk of uterine inversion. Therefore, understanding the mechanics of fundal pressure is crucial for recognizing its potential to lead to this serious complication.

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