ABSTRACT
References to uterine inversion can be found in Hindu Ayurvedic literature (2500-600 bc), but Hippocrates is said to be the rst to give an accurate description of the problem and oer a treatment regimen.1 In the rst half of the twentieth century, puerperal inversion of the uterus was associated with high mortality (12%–40%) because of delay in diagnosis, lack of anesthesia, and inadequate management of hemorrhage, shock, and infection.2-6 Since 1960, the outcome for puerperal uterine inversion has improved remarkably as a result of early diagnosis, adequate treatment of shock, and prompt manual reinversion of the uterus.6-16
CLASSIFICATION e following classication is based on the time of diagnosis15 and the relationship of the inverted uterine fundus to the cervix and the perineum:
1. Acute puerperal inversion. e inversion is noted shortly aer delivery and before there is signicant contraction of the cervix (usually within a few hours of delivery).
