A Neglected Case of Subacute Complete Uterine Inversion Managed by Haultain's Technique: A Rare Case

Puerperal uterine inversion is a rare obstetric emergency and a potentially life-threatening condition of mismanaged third stage of labor. If not diagnosed immediately, the massive blood loss can lead to hypovolemic shock as well as neurogenic shock due to stretching of uterine nerve fibers and even maternal death. Diagnosis is mainly clinical. The diagnostic triad is hemorrhage, shock, and pain. Management includes manual uterine repositioning and correction of shock. However, in resistant or subacute cases that are rare, when a constriction ring is formed, incarceration occurs, and surgical intervention is needed to repose the uterus. We present a neglected case of rare subacute complete uterine inversion, which was managed by Haultain's method followed by subtotal hysterectomy.