Acute Puerperal Uterine Inversion Following a Vaginal Delivery: A Case Report

Puerperal uterine inversion is a rare and life-threatening obstetric emergency that occurs during the third stage of labor. We report the case of a 27-year-old primigravida who developed an acute third-degree uterine inversion immediately after a vaginal delivery, with partial placental tissue remaining in situ. The patient presented with severe postpartum hemorrhage, hemodynamic shock, and intense pelvic pain. The diagnosis was made clinically, and prompt resuscitative measures (including arrangement of O-negative blood at midnight) followed by uterine reduction via the modified Johnson method were initiated. Early recognition and immediate management are crucial to reduce maternal morbidity and mortality associated with this condition.