Hello and welcome to the zero to finals podcast.

My name is Tom and in this episode I'm going to be talking to you about uterine inversion.

And you can find written notes on this topic at zero to finals.com slash uterine inversion

or in the labour and delivery section of the zero to finals obstetrics and gynecology book.

So let's get straight into it.

Uterine inversion is a rare complication of birth where the fundus of the uterus, the top of the uterus,

drops down through the uterine cavity and cervix turning the uterus inside out.

It's a very rare occurrence and you're unlikely to see one in your career unless you become a midwife or an obstetrician.

Uterine inversion is a life-threatening obstetric emergency.

Incomplete uterine inversion or a partial inversion is where the fundus or the top part of the uterus

descends inside the uterus or vagina but not as far as the introitus or the opening of the vagina.

Complete uterine inversion involves the uterus descending through the vagina and to the introitus.

Uterine inversion may be the result of pulling too hard on the umbilical cord during active management

of the third stage of labour let's talk about the presentation uterine inversion typically presents

with a large postpartum hemorrhage there may be maternal shock or maternal collapse.

An incomplete uterine inversion may be felt using a manual vaginal examination.

With a complete uterine inversion, the uterus may be seen at the intrautus or the opening of the vagina.

Next, let's talk about management.

There are three options for treating uterine inversion.

The Johnson maneuver, hydrostatic methods and surgery.

And we're going to go through these in more detail.

Initial management of an inverted uterus is with the Johnson manoeuvre,

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