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1 results

  • Chapter 21 - Uterine inversion

  • Edited by Katherine Lattey, PROMPT Maternity Foundation, Chloë de Souza, PROMPT Maternity Foundation, Cathy Winter, PROMPT Maternity Foundation, Siân Harrington, PROMPT Maternity Foundation, Neil Muchatuta, PROMPT Maternity Foundation, Sharan Athwal, PROMPT Maternity Foundation, Tim Draycott, PROMPT Maternity Foundation
  • Book:
    PROMPT Course Manual
    Published online:
    28 October 2026
    Print publication:
    17 September 2026, pp 297-306

  • Summary

    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.