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Uterine eversion: symptoms, treatment
Last reviewed: 07.07.2025
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Inversion of the uterus is a rare, severe condition in which the body of the uterus turns inside out and protrudes out of the vagina beyond the genital slit. Inversion usually occurs when too much tension is applied to the umbilical cord in an attempt to deliver the placenta. Excessive pressure on the fundus of the uterus during placental delivery, as well as a flaccid uterus or placenta accreta, can cause this condition.
Treatment of uterine inversion
Treatment of inverted uterus consists of immediate manual reduction until the uterus is returned to its normal position. Because of discomfort, intravenous analgesics and sedatives are sometimes necessary. Terbutaline 0.25 mg intravenously, nitroglycerin 50 mcg intravenously, or inhalational anesthetics are used when necessary. If attempts to reduce the uterus fail, laparotomy is necessary; manipulation of the fundus of the uterus is performed transvaginally or abdominally to return the uterus to its normal position. Once the uterus is in place, an oxytocin infusion should be started.