Chronic puerperal complete uterine inversion due to mismanaged third stage of labour

A primipara from a rural area presented with complaints of difficulty in having coitus, continuous bleeding per vaginum and watery vaginal discharge following a history of full-term vaginal delivery 7 months back of an asphyxiated baby resulting in term neonatal death. There was a history of prolonged third stage of labour and severe postpartum haemorrhage. On per speculum examination, a congested and hyperaemic red globular mass of 5 cm × 6 cm was seen in the vagina up to the level of introitus which bled on touch. A diagnosis of chronic complete uterine inversion was made which was managed by Haultain's operation. This reflects the suboptimal management of the third stage in the era of active management of the third stage of labour, which should not be acceptable in modern obstetrics at all. It is necessary to identify the root causes behind such complications and to take appropriate measures to avoid such outcomes in future.