Acute Puerperal Uterine Inversion: Report Case

Uterine inversion is a potentially life-threatening complication of childbirth that occurs between one in 2148 and one in 6407 births. There is little published information on the pathophysiology or anesthetic management of this problem [1]. The cause of acute uterine inversion is usually reported as mismanagement of the third stage of labor, with premature traction on the umbilical cord and/or fundal pressure before the placenta has separated. Other factors that have been implicated include nulliparity; use of magnesium sulfate during labour; manual removal of the placenta after vaginal delivery or at Caesarean section before complete placental separation [2].