After a baby is born the uterus can invert, or turn inside out, most typically with the placenta still attached. This is a time critical emergency to replace the uterus and manage any aftercoming postpartum haemorrhage or further complications. Various maneouvres and techniques are described in this relatively rare emergency, highlighting the need for knowledge prior to this uncommon emergency occurring. Key learning points: Recognise an inverted uterus and be aware of the likelihood of maternal shock. Summon appropriate help to manage an inverted uterus and the associated atonic postpartum haemorrhage that may follow. Understand the manoeuvres required to replace the uterus. Appreciate the importance of manually replacing the uterus as soon as possible. Emphasise that the placenta should not be removed, if still adherent, until the uterus has been replaced.