Uterine Inversion: A Rare Obstetric Emergency: Case Report and Review
M Alief Jody Pratama1, Cut Rika Maharani2, Nadhira Salsabila1*
Abstract
Background: Acute uterine inversion is a rare but life-threatening obstetric emergency. Hypovolemic shock and massive hemorrhage are the main warning signs. Early recognition and prompt management are crucial to reducing maternal morbidity and mortality. Case: A 31-year-old woman was referred to the Emergency Department of Zainoel Abidin Hospital from a maternity hospital with decreased consciousness two days after vaginal delivery at a primary health center. The patient presented with uterine inversion and experienced cardiac arrest, requiring cardiopulmonary resuscitation with return of spontaneous circulation (ROSC). She also had a fourth-degree perineal rupture and underwent a subtotal hysterectomy due to uterine atony. Discussion: Uterine inversion should be promptly recognized during the third stage of labor. In primary health facilities without operative capability, manual reposition supported by tocolytic administration can be effective. Aggressive and immediate treatment of shock is essential, as it is a major determinant of maternal outcome. Conclusion: The management of acute uterine inversion focuses on rapid hemodynamic stabilization and timely uterine reposition. Appropriate interventions can significantly reduce maternal morbidity and mortality.
Keywords
uterine inversion; obstetric emergency; postpartum hemorrhage; shock.
Cite This Article
Salsabila, N., Pratama, M. A. J., & Maharani, C. R. (2025). Uterine Inversion: A Rare Obstetric Emergency: Case Report and Review. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 5: Sep – Oct 2025, Pages 883-885 URL: https://www.ijscia.com/wp-content/uploads/2025/09/Volume6-Issue5-Sep-Oct-No.943-883-885.pdf
Volume 6 | Issue 5: Sep – Oct 2025
