Stage III uterine prolapse in pregnancy as risk factor for puerperal uterine inversion

SummaryUterine inversion is a potentially life-threatening complication of childbirth that can result in haemorrhage, hysterectomy and even death. There are many maternal risk factors associated with uterine inversion, but one rarely seen in the literature is uterine prolapse. We present the case of a multigravida in her 20s who presented at 32 weeks gestation in preterm labour. Her pregnancy was complicated by stage III uterine prolapse. She delivered a liveborn preterm male. During the third stage of labour, there was a second-degree uterine inversion. The patient was given terbutaline, and the uterus was manually replaced via the Johnson maneuverer under general anaesthesia without significant morbidity. Uterine prolapse during pregnancy may be a risk factor for uterine inversion at the time of delivery. The case presented demonstrates the management of uterine inversion following a pregnancy complicated by stage III uterine prolapse.