Merck Manual

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Uterine Inversion

By

Julie S. Moldenhauer

, MD, Children's Hospital of Philadelphia

Reviewed/Revised Jan 2024
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Uterine inversion is a rare medical emergency during childbirth in which the uterus turns inside out and protrudes through the cervix and into or through the vagina. Uterine inversion can cause severe blood loss that may be life threatening.

The uterus may be inverted if the placenta is firmly attached and doctors pull hard to remove it.

An inverted uterus is a medical emergency that must be treated promptly. Usually, doctors return the uterus to its normal position by pushing it back up. Pain relievers, sedatives, and sometimes a general anesthetic may be needed. A medication to relax the uterus (such as terbutaline) is given intravenously if needed. Intravenous fluids or a blood transfusion may be needed. Most women recover fully after this procedure.

Occasionally, surgery is required to return the uterus to its normal position.

Drugs Mentioned In This Article

Generic Name Select Brand Names
Brethaire, Brethine
NOTE: This is the Consumer Version. DOCTORS: VIEW PROFESSIONAL VERSION
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